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General NPI Number Information
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NPI Number | 1841438579
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Entity Type | Organization
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Legal Business Name | VOYTIK CENTER FOR ORTHOPEDIC CARE, PC
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 164 WALNUT GROVE CHURCH RD
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City | DAYTON
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State | TN
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Zip | 37321
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Country | US
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Telephone | 423-479-3600
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Fax | 423-303-1234
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Provider Business Mailing Address
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Address Line | 2700 WESTSIDE DR NW SUITE 301
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City | CLEVELAND
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State | TN
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Zip | 37312-3699
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Country | US
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Telephone | 423-479-3600
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Fax | 423-303-1234
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BEVERLY B HAUN
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Credential | CPC, CMOM
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Telephone | 423-303-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAC1237
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO1133
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License Number State | TN
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