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General NPI Number Information
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NPI Number | 1114280898
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Entity Type | Individual
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Provider Name | MATTHEW JAMES DUBIEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 3537 W FRONT ST STE E
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City | TRAVERSE CITY
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State | MI
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Zip | 49684
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Country | US
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Telephone | 231-935-5880
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Fax | 231-935-3464
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Provider Business Mailing Address
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Address Line | 1105 SIXTH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2386
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 61606
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301100731
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License Number State | MI
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