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General NPI Number Information
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NPI Number | 1215025200
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Entity Type | Individual
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Provider Name | JOHNSTUART M GUARNIERI MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 333 MCLAWS CIR SUITE 3
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6339
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Country | US
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Telephone | 757-345-2275
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Fax | 757-229-3435
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Provider Business Mailing Address
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Address Line | 333 MCLAWS CIR SUITE 3
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6339
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Country | US
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Telephone | 757-345-2275
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Fax | 757-229-3435
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 0101041390
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License Number State | VA
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