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General NPI Number Information
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NPI Number | 1235268467
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Entity Type | Organization
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Legal Business Name | MATTHEW P POWERS MD PA
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 3501 HEALTH CENTER BLVD SUITE 2400
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-8127
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Country | US
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Telephone | 239-495-4995
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Fax | 239-495-4989
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Provider Business Mailing Address
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Address Line | 2420 CAMDEN CT
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City | NAPLES
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State | FL
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Zip | 34105-2523
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Country | US
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Telephone | 239-261-1005
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Fax | 239-262-1054
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW P. POWERS
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Credential | M.D.
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Telephone | 239-495-4995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | FL 46550
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License Number State | FL
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