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General NPI Number Information
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NPI Number | 1548468796
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Entity Type | Individual
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Provider Name | GUY MATTHEW BIZEK M.D
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 200 W ARBOR DR
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City | SAN DIEGO
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State | CA
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Zip | 92103-9001
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Country | US
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Telephone | 619-543-1849
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33041
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City | SAN DIEGO
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State | CA
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Zip | 92163-2041
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Country | US
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Telephone | 314-604-7562
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A102028
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License Number State | CA
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