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General NPI Number Information
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NPI Number | 1023645835
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Entity Type | Individual
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Provider Name | ALAIN GUILLAUME
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Gender | Male
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 6651 N MILITARY TRL STE 100
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City | BOCA RATON
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State | FL
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Zip | 33496-2402
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Country | US
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Telephone | 954-536-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 778 NW 91ST TER
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City | PLANTATION
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State | FL
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Zip | 33324-6160
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11004914
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License Number State | FL
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