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General NPI Number Information
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NPI Number | 1679525935
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Entity Type | Individual
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Provider Name | ROBERT A MATTA DO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 3050 HAMILTON BLVD SUITE 105
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City | ALLENTOWN
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State | PA
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Zip | 18103-3691
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Country | US
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Telephone | 610-432-2013
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Fax | 610-432-6559
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Provider Business Mailing Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-526-6048
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Fax | 484-526-6500
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS007214L
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License Number State | PA
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