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General NPI Number Information
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NPI Number | 1023423290
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Entity Type | Individual
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Provider Name | LUIZ FERNANDO LEONAVICIUS GUIMARAES FRANCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 502 E 2ND ST
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City | DULUTH
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State | MN
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Zip | 55805-1913
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Country | US
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Telephone | 218-786-8364
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 UNIVERSITY DR S
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City | FARGO
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State | ND
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Zip | 58103-4940
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 119-320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 66408
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License Number State | MN
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