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General NPI Number Information
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NPI Number | 1326482670
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Entity Type | Organization
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Legal Business Name | STEVEN GUTSIN DPM PC
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 41 BENDER DR
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City | ORCHARD PARK
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State | NY
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Zip | 14127-2330
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Country | US
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Telephone | 716-646-6006
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Fax | 716-646-6996
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Provider Business Mailing Address
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Address Line | PO BOX 1195
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City | ORCHARD PARK
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State | NY
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Zip | 14127-8195
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Country | US
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Telephone | 716-646-6006
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Fax | 716-646-6996
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN B GUTSIN
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Credential | DPM
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Telephone | 716-903-2407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005177
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License Number State | NY
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