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General NPI Number Information
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NPI Number | 1932132883
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Entity Type | Individual
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Provider Name | MATTTHEW SCHROEDER SYMKOWICK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 975 SERENO DR
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City | VALLEJO
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State | CA
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Zip | 94589-2441
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Country | US
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Telephone | 707-651-4936
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Fax | 707-651-2743
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Provider Business Mailing Address
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Address Line | 229 SUNNYSIDE AVE
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City | PIEDMONT
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State | CA
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Zip | 94611-4455
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Country | US
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Telephone | 510-428-1948
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Fax | 707-651-2743
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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 | D0062489
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License Number State | MD
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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 | MD034950
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License Number State | DC
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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 | A78791
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License Number State | CA
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