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General NPI Number Information
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NPI Number | 1861428880
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Entity Type | Individual
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Provider Name | MATTHEW JAY SPEESLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 11/19/2022
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Provider Practice Location Address
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Address Line | 1440 HOW LN STE 2F
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-4600
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Country | US
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Telephone | 732-764-0004
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Fax | 732-960-2301
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Provider Business Mailing Address
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Address Line | PO BOX 6086
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City | SOMERSET
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State | NJ
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Zip | 08875-6086
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Country | US
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Telephone | 732-764-0004
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Fax | 732-960-2301
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | MA41374
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA41374
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License Number State | NJ
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