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General NPI Number Information
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NPI Number | 1609064617
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Entity Type | Individual
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Provider Name | RICHARD EUGENE HOYT M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 400 MATTHEW ST STE 306
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City | MARIETTA
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State | OH
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Zip | 45750-1656
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Country | US
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Telephone | 740-376-5044
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Fax | 740-374-1792
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Provider Business Mailing Address
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Address Line | PO BOX 449
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City | MARIETTA
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State | OH
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Zip | 45750-0449
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Country | US
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Telephone |
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Fax |
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 01064416A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.123638
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License Number State | OH
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