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General NPI Number Information
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NPI Number | 1477623775
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Entity Type | Individual
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Provider Name | GRETA VIRGINIA GUYER MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 500 POPLAR ST SUITE 202
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1474
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Country | US
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Telephone | 304-346-2121
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Fax | 304-346-2176
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Provider Business Mailing Address
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Address Line | 4605 MACCORKLE AVE SW THS PHYSICIAN PARTNERS, INC. - ADMIN OFC
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1311
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Country | US
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Telephone | 304-414-4800
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Fax | 304-414-4801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 16889
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License Number State | WV
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