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General NPI Number Information
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NPI Number | 1326280645
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Entity Type | Individual
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Provider Name | MATTHEW DOUNEL M.D. M.P.H
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 22215 NORTHERN BLVD STE LOBBYA
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City | BAYSIDE
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State | NY
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Zip | 11361-3678
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Country | US
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Telephone | 718-405-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 72-11 AUSTIN ST MB #230
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City | FOREST HILLS
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State | NY
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Zip | 11375
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 266098
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 266098
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License Number State | NY
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