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General NPI Number Information
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NPI Number | 1164538070
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Entity Type | Individual
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Provider Name | NED HENRY GUTMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 146 W RIVER ST STE 11A
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City | PROVIDENCE
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State | RI
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Zip | 02904-2609
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Country | US
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Telephone | 401-606-1004
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Fax | 401-606-1153
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Provider Business Mailing Address
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Address Line | 950 WARREN AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1414
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Country | US
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Telephone | 401-606-1004
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Fax | 401-606-1153
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 81521
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD08185
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License Number State | RI
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