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NPI 1053436022

NPI 1053436022 : ESTHER GUZMAN : PACOIMA, CA

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General NPI Number Information
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    NPI Number           |    1053436022
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    Entity Type          |    Individual 
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    Provider Name        |    ESTHER GUZMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    13686 VAN NUYS BLVD 
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    City                 |    PACOIMA
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    State                |    CA
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    Zip                  |    91331-3616
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    Country              |    US
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    Telephone            |    818-896-1104
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    Fax                  |    818-896-7299
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Provider Business Mailing Address
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    Address Line         |    1432 CELIS ST 
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    City                 |    SAN FERNANDO
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    State                |    CA
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    Zip                  |    91340-3208
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    Country              |    US
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    Telephone            |    818-439-1237
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    Fax                  |    818-896-7299
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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        |    183700000X
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    Taxonomy Name        |    Pharmacy Technician
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    License Number       |    1802
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    License Number State |    CA
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