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General NPI Number Information
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NPI Number | 1003162264
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Entity Type | Organization
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Legal Business Name | EDUARDO GUZMAN, MDPA
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 1800 SW 27TH AVE 402
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City | MIAMI
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State | FL
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Zip | 33145-2457
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Country | US
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Telephone | 305-445-2404
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Fax | 305-443-8759
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Provider Business Mailing Address
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Address Line | 1800 SW 27TH AVE 402
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City | MIAMI
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State | FL
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Zip | 33145-2457
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Country | US
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Telephone | 305-445-2404
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Fax | 305-443-8759
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Authorized Official
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Title or Position | PRES/TREASURER/DIRECTOR/SEC
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Name | DR. EDUARDO GUZMAN
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Credential | MD
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Telephone | 305-445-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MM0014466
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License Number State | FL
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