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General NPI Number Information
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NPI Number | 1154919603
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Entity Type | Individual
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Provider Name | JUAN ACOSTA GUZMAN APRN
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Gender | Male
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4445 W 16TH AVE STE 300
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City | HIALEAH
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State | FL
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Zip | 33012-7190
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Country | US
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Telephone | 786-234-7253
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Fax |
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Provider Business Mailing Address
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Address Line | 4445 W 16TH AVE STE 300
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City | HIALEAH
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State | FL
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Zip | 33012-7190
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Country | US
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Telephone | 786-778-7449
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Fax | 786-685-3908
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11010299
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License Number State | FL
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