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General NPI Number Information
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NPI Number | 1013959477
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Entity Type | Individual
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Provider Name | DAREN MICHAEL GUERTIN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 112 W PASADENA BLVD
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City | DEER PARK
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State | TX
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Zip | 77536-4870
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Country | US
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Telephone | 281-479-5311
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Fax | 281-479-0748
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Provider Business Mailing Address
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Address Line | PO BOX 58538
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City | WEBSTER
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State | TX
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Zip | 77598-8538
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Country | US
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Telephone | 281-479-5311
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Fax | 281-479-0748
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1780
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC005677
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1780
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License Number State | TX
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