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General NPI Number Information
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NPI Number | 1770469983
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Entity Type | Individual
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Provider Name | MATT GAUVEY
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Gender | Male
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3500 BUSENBARK RD
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City | TRENTON
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State | OH
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Zip | 45067-9566
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Country | US
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Telephone | 513-867-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 5113 PRINCE WILLIAM WAY
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-8304
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Country | US
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Telephone | 513-420-7389
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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