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General NPI Number Information
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NPI Number | 1669633400
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Entity Type | Individual
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Provider Name | JOHN ROBERT DYE MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 844 KEMPSVILLE RD STE 103B
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City | NORFOLK
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State | VA
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Zip | 23502-3927
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Country | US
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Telephone | 757-261-0200
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Fax | 757-261-0201
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Provider Business Mailing Address
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Address Line | 844 KEMPSVILLE RD STE 103B
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City | NORFOLK
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State | VA
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Zip | 23502-3927
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Country | US
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Telephone | 757-261-0200
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Fax | 757-261-0201
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101247673
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2012-02040
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101247673
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License Number State | VA
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