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General NPI Number Information
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NPI Number | 1790474161
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Entity Type | Individual
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Provider Name | GREGORY GUTH DDS
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Gender | Male
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 247 BUFFALO ST
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City | HAMBURG
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State | NY
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Zip | 14075-5105
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Country | US
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Telephone | 716-648-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 3549 HARLEM RD
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City | BUFFALO
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State | NY
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Zip | 14225-1506
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Country | US
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Telephone | 716-517-1167
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 064001
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License Number State | NY
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