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General NPI Number Information
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NPI Number | 1023513934
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Entity Type | Individual
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Provider Name | CYNTHIA MICHELLE GUERIN MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2018
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3601 4TH ST
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City | LUBBOCK
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State | TX
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Zip | 79430-0002
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Country | US
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Telephone | 503-545-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 LASALLE AVE
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City | LUBBOCK
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State | TX
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Zip | 79416-5952
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Country | US
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Telephone | 503-545-8688
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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 | 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 #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | BP10075599
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35.152687
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License Number State | OH
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