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General NPI Number Information
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NPI Number | 1023071883
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Entity Type | Individual
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Provider Name | DARGEE EMID GUEVAREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | CONDOMINIO SAN VICENTE CONCORDIA #8169 SUITE 405
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-284-3724
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Fax | 787-284-3724
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Provider Business Mailing Address
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Address Line | BRISAS DEL PRADO 2025 GUARAGUAO
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2175
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Country | US
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Telephone | 787-448-0222
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Fax | 787-284-3724
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 13671
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License Number State | PR
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