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General NPI Number Information
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NPI Number | 1417918038
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Entity Type | Individual
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Provider Name | JOSEPH JAY GUTH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 24 MORRIS RD SUITE 2
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City | SHELBY
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State | OH
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Zip | 44875-1170
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Country | US
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Telephone | 419-347-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 DELAWARE AVE
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City | MARION
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State | OH
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Zip | 43302-6416
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Country | US
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Telephone | 740-383-7936
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Fax | 740-375-8174
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 35.064900
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.064900
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License Number State | OH
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