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General NPI Number Information
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NPI Number | 1770664898
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Entity Type | Individual
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Provider Name | MATTHEW W CORBETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 121 MEDICAL CENTER DR STE 3100
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City | BRUNSWICK
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State | ME
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Zip | 04011-2672
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Country | US
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Telephone | 207-844-4878
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Fax | 207-725-4717
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Provider Business Mailing Address
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Address Line | 3841 PIPER ST SUITE T100
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City | ANCHORAGE
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State | AK
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Zip | 99508-4624
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Country | US
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Telephone | 907-561-3211
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Fax | 907-562-7547
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4788
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 016451
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License Number State | ME
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