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General NPI Number Information
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NPI Number | 1902908023
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Entity Type | Individual
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Provider Name | JOSHUA D. GUTMAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 43 JEFFERSON BLVD STE 2
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City | WARWICK
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State | RI
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Zip | 02888-1078
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Country | US
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Telephone | 401-941-2830
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Fax | 401-941-6886
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Provider Business Mailing Address
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Address Line | PO BOX 986524
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City | BOSTON
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State | MA
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Zip | 02298-6524
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Country | US
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Telephone | 401-443-4992
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Fax | 401-537-7241
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40948
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License Number State | MA
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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 | G29136
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD05295
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License Number State | RI
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