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General NPI Number Information
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NPI Number | 1336927219
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Entity Type | Individual
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Provider Name | ANDREA GUIDO DDS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 6660 LONE TREE WAY STE 7
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City | BRENTWOOD
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State | CA
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Zip | 94513-5310
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Country | US
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Telephone | 925-513-8363
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Fax | 925-513-7508
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Provider Business Mailing Address
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Address Line | 633 MORNINGHOME RD
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City | DANVILLE
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State | CA
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Zip | 94526-4152
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Country | US
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Telephone | 707-293-8487
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 109487
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License Number State | CA
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