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General NPI Number Information
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NPI Number | 1073671327
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Entity Type | Individual
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Provider Name | DINA S GUYETSKY MD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 572 BOSTON RD
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City | BILLERICA
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State | MA
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Zip | 01821
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Country | US
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Telephone | 978-667-7711
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Fax | 978-667-8887
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Provider Business Mailing Address
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Address Line | 572 BOSTON RD
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City | BILLERICA
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State | MA
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Zip | 01821
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Country | US
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Telephone | 978-667-7711
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Fax | 978-667-8887
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 73194
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 73194
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License Number State | MA
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