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General NPI Number Information
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NPI Number | 1124519715
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Entity Type | Individual
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Provider Name | DR. JOSEPH GUERRINO
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Gender | Male
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Dates
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Enumeration Date | 05/20/2018
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 450 CENTRAL PARK AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-1078
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Country | US
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Telephone | 914-722-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 157 BRENDON HILL RD
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City | SCARSDALE
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State | NY
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Zip | 10583-4843
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Country | US
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Telephone | 914-433-2965
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 060738
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License Number State | NY
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