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General NPI Number Information
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NPI Number | 1275021263
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Entity Type | Individual
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Provider Name | JENNIFER CHRISTINE GUTIERREZ-WU MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 8501 WILSHIRE BLVD STE 201
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3135
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Country | US
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Telephone | 310-385-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-2511
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2021-02135
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 100851
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License Number State | WI
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Taxonomy #3
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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 | 239097
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A196884
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License Number State | CA
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