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General NPI Number Information
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NPI Number | 1568556983
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Entity Type | Individual
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Provider Name | TIMOTHY T DWYER III M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD DEPT OF INTERNAL MEDICINE
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6045
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Fax | 913-588-4098
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Provider Business Mailing Address
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Address Line | 3901 RAINBOW BLVD 4070 DELP MAIL STOP 4017
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6045
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Fax | 913-588-4098
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 04-30062
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 04-30062
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License Number State | KS
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