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General NPI Number Information
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NPI Number | 1336760552
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Entity Type | Individual
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Provider Name | LUIS JOEL GUZMAN GUZMAN APRN
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Gender | Male
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Dates
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Enumeration Date | 04/28/2020
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 1255 STATE ROAD 60 E
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City | LAKE WALES
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State | FL
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Zip | 33853-4310
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Country | US
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Telephone | 863-676-8237
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 STATE ROAD 60 E
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City | LAKE WALES
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State | FL
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Zip | 33853-4310
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Country | US
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Telephone | 863-676-8237
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11043368
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 33193
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 3014
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License Number State | PR
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