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General NPI Number Information
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NPI Number | 1669805099
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Entity Type | Individual
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Provider Name | SIGURDUR THOR SIGURDARSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 5170 US RT 60 EAST
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City | HUNTINGTON
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State | WV
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Zip | 25705
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Country | US
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Telephone | 304-528-4600
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Fax | 304-697-0856
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Provider Business Mailing Address
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Address Line | 5170 US RT 60 EAST
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City | HUNTINGTON
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State | WV
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Zip | 25705
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Country | US
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Telephone | 304-528-4600
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Fax | 304-697-0856
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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 | 25263
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License Number State | WV
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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 | 25263
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License Number State | WV
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