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General NPI Number Information
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NPI Number | 1134314560
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Entity Type | Individual
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Provider Name | MARIA E LADRON DE GUEVARA AP, LMT
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 940 CLEARWATER-LARGO RD ST 106
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City | LARGO
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State | FL
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Zip | 33770
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Country | US
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Telephone | 727-586-4808
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Fax |
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Provider Business Mailing Address
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Address Line | 13300 INDIAN ROCKS RD APT 804
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City | LARGO
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State | FL
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Zip | 33774-2011
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Country | US
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Telephone | 727-586-4808
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1920
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License Number State | FL
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