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General NPI Number Information
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NPI Number | 1245211044
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Entity Type | Individual
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Provider Name | GUILLERMO MARRERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 1000 EXECUTIVE DR SUITE 1
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City | OVIEDO
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State | FL
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Zip | 32765-8140
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Country | US
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Telephone | 407-971-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 EXECUTIVE DR SUITE 1
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City | OVIEDO
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State | FL
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Zip | 32765-8140
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Country | US
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Telephone | 407-971-1970
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0074991
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License Number State | FL
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