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General NPI Number Information
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NPI Number | 1285738831
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Entity Type | Individual
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Provider Name | GABRIEL GUERRERO MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 540 NW UNIVERSITY BLVD STE 107
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-2280
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Country | US
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Telephone | 772-324-2007
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Fax | 833-909-3952
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Provider Business Mailing Address
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Address Line | 10521 SW VILLAGE CENTER DR STE 201
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-1930
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Country | US
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Telephone | 772-324-2007
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Fax | 772-873-7115
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME93826
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License Number State | FL
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