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General NPI Number Information
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NPI Number | 1073388443
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Entity Type | Organization
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Legal Business Name | GUZMAN MEDICAL OFFICE LLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | CARR 633 KM 4.9 BO BARAHONAS
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City | MOROVIS
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State | PR
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Zip | 00687
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Country | US
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Telephone | 787-369-7876
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 180
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City | COROZAL
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State | PR
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Zip | 00783-0180
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Country | US
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Telephone | 787-369-7876
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YANNETTE GUZMAN
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Credential | MD
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Telephone | 787-369-7876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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