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General NPI Number Information
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NPI Number | 1255504965
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Entity Type | Organization
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Legal Business Name | NAGARATINA SALEM, MD,PA
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 6850 TPC DR SUITE 100
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City | MCKINNEY
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State | TX
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Zip | 75070-3128
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Country | US
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Telephone | 214-383-4400
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Fax | 214-383-4403
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Provider Business Mailing Address
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Address Line | 4950 SW 72ND AVE STE 106
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City | MIAMI
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State | FL
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Zip | 33155-5500
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Country | US
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Telephone | 786-875-1927
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Fax |
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Authorized Official
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Title or Position | VP CLINICAL OPERATIONS
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Name | DR. JOSE ALBERTO GUETHON
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Credential | MD
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Telephone | 561-267-2128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K4225
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License Number State | TX
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