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General NPI Number Information
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NPI Number | 1174087167
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Entity Type | Individual
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Provider Name | ALEXANDRA GUERRIERE PA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 09/05/2020
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Provider Practice Location Address
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Address Line | 9000 FRANKLIN SQUARE DR
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City | BALTIMORE
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State | MD
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Zip | 21237-3901
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Country | US
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Telephone | 855-217-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 16 E BISHOPS RD
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City | BALTIMORE
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State | MD
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Zip | 21218-2312
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Country | US
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Telephone | 717-497-6983
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0007073
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License Number State | MD
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