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General NPI Number Information
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NPI Number | 1285918169
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Entity Type | Individual
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Provider Name | JAZMIN Y MCGUIRE C.N.A.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 125 BASIN ST SUITE 110
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5078
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Country | US
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Telephone | 386-252-9282
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Fax |
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Provider Business Mailing Address
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Address Line | 1074 E HANCOCK DR
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City | DELTONA
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State | FL
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Zip | 32725-6424
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Country | US
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Telephone | 407-545-1822
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 218277
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License Number State | FL
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