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General NPI Number Information
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NPI Number | 1134032469
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Entity Type | Individual
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Provider Name | JESSE CAMILA GUZMAN RODRIGUEZ NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 8114 QUEENS BLVD
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City | ELMHURST
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State | NY
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Zip | 11373-3789
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Country | US
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Telephone | 949-424-3337
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Fax | 929-424-3347
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Provider Business Mailing Address
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Address Line | 7510 YELLOWSTONE BLVD APT 5H
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City | REGO PARK
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State | NY
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Zip | 11374-5308
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Country | US
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Telephone | 786-461-8549
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F360924-01
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License Number State | NY
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