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General NPI Number Information
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NPI Number | 1205884822
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Entity Type | Individual
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Provider Name | ANTHONY F GUANCIALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/05/2017
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Provider Practice Location Address
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Address Line | 9250 BLUE ASH RD
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City | CINCINNATI
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State | OH
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Zip | 45242
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Country | US
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Telephone | 513-792-7445
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Fax | 513-791-4042
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Provider Business Mailing Address
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Address Line | PO BOX 636256 PO BOX 636256
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-5506
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Fax | 513-585-5511
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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 | 35062680G
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 3506280G
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.062680
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License Number State | OH
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