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General NPI Number Information
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NPI Number | 1063356053
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Entity Type | Individual
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Provider Name | MATTHEW LAWRENCE BURY
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Gender | Male
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Dates
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Enumeration Date | 04/18/2026
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 29 3RD AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4605
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Country | US
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Telephone | 516-273-3701
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CONCORD AVE
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City | BETHPAGE
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State | NY
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Zip | 11714-3104
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Country | US
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Telephone | 516-243-6293
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 508725
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License Number State | NY
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