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General NPI Number Information
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NPI Number | 1841642956
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Entity Type | Organization
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Legal Business Name | DYER PHYSICIAN SERVICES, PC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 1843 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2837
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Country | US
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Telephone | 423-581-7976
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Fax | 423-581-7977
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Provider Business Mailing Address
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Address Line | 1843 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2837
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Country | US
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Telephone | 423-581-7976
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Fax | 423-581-7977
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRYSTAL SHANELLE DYER
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Credential | MD
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Telephone | 423-552-1531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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