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General NPI Number Information
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NPI Number | 1174903884
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Entity Type | Individual
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Provider Name | GUILHERME GIUSTI MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 2300 PARK AVE STE 206
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City | ORANGE PARK
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State | FL
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Zip | 32073-5573
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Country | US
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Telephone | 904-634-0640
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Fax | 904-634-0203
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Provider Business Mailing Address
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Address Line | 6800 SOUTHPOINT PKWY STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8203
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Country | US
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Telephone | 904-634-0604
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME152790
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 58935
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 65366
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME152790
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License Number State | FL
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