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General NPI Number Information
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NPI Number | 1619967908
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Entity Type | Individual
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Provider Name | KURT A. MUETTERTIES MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | ONE MEDICAL CENTER BLVD
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City | CHESTER
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State | PA
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Zip | 19013-3902
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Country | US
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Telephone | 610-447-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3247
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City | EVANSVILLE
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State | IN
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Zip | 47731-3247
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Country | US
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Telephone | 800-467-2392
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Fax | 812-471-6650
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD065156L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD00032032
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License Number State | WA
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