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General NPI Number Information
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NPI Number | 1992328884
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Entity Type | Individual
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Provider Name | MATTHEW T RASO DDS
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Gender | Male
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 260 BETH STACEY BLVD UNIT 240
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6074
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Country | US
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Telephone | 239-491-6977
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Fax |
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Provider Business Mailing Address
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Address Line | 3631 BLUE FIN WAY UNIT 104
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City | FORT MYERS
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State | FL
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Zip | 33916-8447
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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 |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN25812
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License Number State | FL
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