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General NPI Number Information
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NPI Number | 1780115337
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Entity Type | Individual
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Provider Name | CORBIN EARL MUETTERTIES M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 950 PULASKI DR STE 100
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2802
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Country | US
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Telephone | 610-768-5940
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34990
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City | BELFAST
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State | ME
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Zip | 04915-0627
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Country | US
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Telephone | 610-359-5672
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | MD480563
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD480563
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License Number State | PR
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