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General NPI Number Information
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NPI Number | 1205867835
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Entity Type | Individual
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Provider Name | RODOLFO GUZMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 860 GRAND CONCOURSE SUITE 1K
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City | BRONX
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State | NY
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Zip | 10451-2821
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Country | US
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Telephone | 718-585-5060
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Fax | 718-585-4866
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Provider Business Mailing Address
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Address Line | 860 GRAND CONCOURSE SUITE 1K
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City | BRONX
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State | NY
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Zip | 10451-2814
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Country | US
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Telephone | 718-585-5060
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Fax | 718-585-4866
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 183600
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License Number State | NY
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