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General NPI Number Information
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NPI Number | 1639134992
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Entity Type | Individual
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Provider Name | KATHLEEN A. GUTMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1516 YANKEE PARK PL
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City | DAYTON
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State | OH
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Zip | 45458-1878
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Country | US
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Telephone | 937-438-1115
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Fax | 937-438-1291
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Provider Business Mailing Address
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Address Line | 1516 YANKEE PARK PL
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City | DAYTON
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State | OH
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Zip | 45458-1878
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Country | US
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Telephone | 937-438-1115
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Fax | 937-438-1291
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35070464
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License Number State | OH
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