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General NPI Number Information
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NPI Number | 1942207691
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Entity Type | Individual
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Provider Name | PHILIP C GUTHERZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 700 MAPLE AVE
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City | HONESDALE
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State | PA
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Zip | 18431-1410
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Country | US
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Telephone | 570-253-7150
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Fax | 570-253-7152
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Provider Business Mailing Address
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Address Line | 601 PARK ST
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City | HONESDALE
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State | PA
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Zip | 18431-1445
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Country | US
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Telephone | 570-253-6846
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Fax |
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | MD038651E
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License Number State | PA
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