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General NPI Number Information
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NPI Number | 1104112846
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH CUPIDO D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 2508 SW 35TH PL APT 115T
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City | GAINESVILLE
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State | FL
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Zip | 32608-0511
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Country | US
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Telephone | 585-752-7485
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Fax |
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Provider Business Mailing Address
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Address Line | 2508 SW 35TH PL APT 115T
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City | GAINESVILLE
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State | FL
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Zip | 32608-0511
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Country | US
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Telephone | 585-752-7485
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | UO2800
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS13170
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License Number State | FL
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