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General NPI Number Information
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NPI Number | 1720320476
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Entity Type | Organization
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Legal Business Name | MATTHEW NESTER DPM P.C.
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 3227 LONG BEACH RD SUITE 3
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City | OCEANSIDE
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State | NY
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Zip | 11572-3651
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Country | US
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Telephone | 516-431-1600
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Fax | 516-431-5743
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Provider Business Mailing Address
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Address Line | 3227 LONG BEACH RD SUITE 3
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City | OCEANSIDE
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State | NY
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Zip | 11572-3651
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Country | US
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Telephone | 516-431-1600
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Fax | 516-431-5743
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW NESTER
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Credential | DPM
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Telephone | 516-431-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 005466
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License Number State | NY
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