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General NPI Number Information
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NPI Number | 1093752701
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Entity Type | Individual
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Provider Name | JULIO C GUERRA MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1102 FOXWOOD DR SUITE 31
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City | SEVIERVILLE
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State | TN
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Zip | 37862-9365
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Country | US
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Telephone | 865-453-7717
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Fax | 865-428-8933
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Provider Business Mailing Address
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Address Line | 1102 FOXWOOD DR SUITE 31
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City | SEVIERVILLE
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State | TN
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Zip | 37862-9365
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Country | US
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Telephone | 865-453-7717
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Fax | 865-428-8933
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 43902
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 022020
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License Number State | TN
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