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General NPI Number Information
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NPI Number | 1093285959
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Entity Type | Individual
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Provider Name | CECILIA GUERRE MD
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Gender | Female
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 2350 BUHNE ST STE A
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City | EUREKA
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State | CA
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Zip | 95501-3205
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Country | US
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Telephone | 707-443-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 8TH ST
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City | ARCATA
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State | CA
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Zip | 95521-5770
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Country | US
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Telephone | 707-443-4593
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A198153
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License Number State | CA
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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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