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General NPI Number Information
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NPI Number | 1124242292
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Entity Type | Individual
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Provider Name | J STEVEN GUTMANN DDS MS
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6225 BRANDON AVE 185
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2525
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Country | US
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Telephone | 703-451-4430
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Fax | 703-451-4484
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Provider Business Mailing Address
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Address Line | 6225 BRANDON AVE 185
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2525
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Country | US
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Telephone | 703-451-4430
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Fax | 703-451-4484
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4423
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License Number State | VA
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