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General NPI Number Information
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NPI Number | 1902089501
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Entity Type | Organization
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Legal Business Name | MATTHEW JOEL GUY, MD, PC
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 14404 ROCKAWAY BEACH BLVD
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City | NEPONSIT
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State | NY
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Zip | 11694-1141
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Country | US
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Telephone | 718-945-2714
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Fax |
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Provider Business Mailing Address
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Address Line | 14404 ROCKAWAY BEACH BLVD
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City | NEPONSIT
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State | NY
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Zip | 11694-1141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MATTHEW J GUY
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Credential | MD
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Telephone | 718-945-1238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 108805
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License Number State | NY
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