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General NPI Number Information
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NPI Number | 1114093283
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Entity Type | Organization
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Legal Business Name | MARCIA GUERTIN, P.A.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 2311 HIGHWAY 52 N SUITE C
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City | ROCHESTER
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State | MN
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Zip | 55901-7922
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Country | US
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Telephone | 507-990-2744
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Fax | 507-282-9626
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Provider Business Mailing Address
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Address Line | 2311 HIGHWAY 52 N SUITE C
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City | ROCHESTER
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State | MN
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Zip | 55901-7922
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Country | US
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Telephone | 507-990-2744
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Fax | 507-282-9626
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCIA GUERTIN
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Credential |
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Telephone | 507-990-2744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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