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General NPI Number Information
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NPI Number | 1740440833
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Entity Type | Individual
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Provider Name | MICHAEL R MATHESON MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5655 HUDSON DR STE 210 ARIS RADIOLOGY
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City | HUDSON
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State | OH
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Zip | 44236-4455
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Country | US
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Telephone | 330-655-1869
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Fax | 330-655-3828
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Provider Business Mailing Address
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Address Line | 5655 HUDSON DR STE 210 ARIS RADIOLOGY
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City | HUDSON
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State | OH
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Zip | 44236-4455
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Country | US
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Telephone | 330-655-1869
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Fax | 330-655-3828
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 29472
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.093299
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 46796
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 46796
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 46796
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 29472
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License Number State | CO
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