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General NPI Number Information
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NPI Number | 1043285331
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Entity Type | Individual
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Provider Name | HEATH GUTTERMAN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 332 W MONTAUK HWY STE 3
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City | HAMPTON BAYS
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State | NY
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Zip | 11946-3551
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Country | US
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Telephone | 631-287-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 32 ELMWOOD CT
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City | PLAINVIEW
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State | NY
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Zip | 11803-3226
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Country | US
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Telephone | 516-785-7156
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Fax | 516-465-0328
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00280900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005957
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License Number State | NY
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