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General NPI Number Information
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NPI Number | 1063636694
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Entity Type | Individual
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Provider Name | ANTHONY MATTEO MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 303 HORSHAM RD SUITE 1B
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City | HORSHAM
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State | PA
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Zip | 19044-2029
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Country | US
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Telephone | 215-682-7620
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Fax | 215-682-7622
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Provider Business Mailing Address
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Address Line | 303 HORSHAM RD SUITE 1B
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City | HORSHAM
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State | PA
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Zip | 19044-2029
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Country | US
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Telephone | 215-682-7620
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Fax | 215-682-7622
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD0395890
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License Number State | PA
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