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General NPI Number Information
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NPI Number | 1225322902
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Entity Type | Individual
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Provider Name | BRENDA MARIA JUAN-GUARDELA MD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 311 9TH ST N STE 310
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City | NAPLES
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State | FL
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Zip | 34102-5889
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Country | US
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Telephone | 239-624-8250
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Fax | 239-624-8251
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Provider Business Mailing Address
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Address Line | 311 9TH ST N STE 310
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City | NAPLES
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State | FL
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Zip | 34102-5889
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Country | US
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Telephone | 239-624-8250
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Fax | 239-624-8251
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT199548
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME129957
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License Number State | FL
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