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General NPI Number Information
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NPI Number | 1205276334
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Entity Type | Individual
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Provider Name | MR. ALEJANDRO GUZMAN SR.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 4550 W OAKEY BLVD SUITE 111-Q
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City | LAS VEGAS
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State | NV
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Zip | 89102-1581
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Country | US
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Telephone | 702-968-9372
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Fax | 702-932-3189
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Provider Business Mailing Address
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Address Line | 4616 W SAHARA AVE #419
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City | LAS VEGAS
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State | NV
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Zip | 89102-3654
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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