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General NPI Number Information
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NPI Number | 1912495003
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Entity Type | Organization
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Legal Business Name | MATTHEW GUARINO DMD PLLC
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 2000 MAPLE HILL ST STE 201
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4142
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Country | US
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Telephone | 781-690-1839
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Fax |
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Provider Business Mailing Address
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Address Line | 75 MCKINLEY AVE APT B2-8
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City | WHITE PLAINS
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State | NY
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Zip | 10606-1667
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Country | US
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Telephone | 781-690-1839
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW ALLEN GUARINO
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Credential | DMD
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Telephone | 781-690-1839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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