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General NPI Number Information
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NPI Number | 1124296256
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Entity Type | Individual
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Provider Name | MARCELA D GUZMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 10045 OAKSIDE CT
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City | ORLANDO
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State | FL
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Zip | 32836-5938
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Country | US
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Telephone | 407-370-3236
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 BUENAVENTURA BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34743-7865
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Country | US
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Telephone | 407-344-2400
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Fax | 407-344-1728
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN16736
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License Number State | FL
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