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General NPI Number Information
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NPI Number | 1376715706
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Entity Type | Individual
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Provider Name | ARI GUTMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 822 PINE ST STE 2A
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6187
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Country | US
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Telephone | 267-519-0154
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Fax | 267-519-0597
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Provider Business Mailing Address
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Address Line | 822 PINE ST STE 2A
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6187
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Country | US
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Telephone | 267-519-0154
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Fax | 267-519-0597
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD433536
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License Number State | PA
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