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General NPI Number Information
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NPI Number | 1306396437
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Entity Type | Individual
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Provider Name | MARTIN GUERIN CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 2525 DESALES AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1161
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Country | US
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Telephone | 423-206-5040
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Fax | 423-206-5041
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Provider Business Mailing Address
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Address Line | PO BOX 749748
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City | ATLANTA
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State | GA
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Zip | 30374-9748
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Country | US
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Telephone | 423-495-8659
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 39121
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11006935
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA163046
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License Number State | ME
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