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General NPI Number Information
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NPI Number | 1295967966
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Entity Type | Individual
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Provider Name | JACFRANZ JACQUES GUITEAU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2009
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 330 23RD AVE N STE 130
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City | NASHVILLE
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State | TN
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Zip | 37203-1536
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Country | US
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Telephone | 615-342-5626
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Fax | 615-342-5635
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Provider Business Mailing Address
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Address Line | 330 23RD AVE N STE 130
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City | NASHVILLE
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State | TN
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Zip | 37203-1536
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Country | US
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Telephone | 615-342-5626
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Fax | 615-342-5635
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME128645
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N3061
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 58458
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License Number State | TN
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