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General NPI Number Information
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NPI Number | 1346069606
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Entity Type | Organization
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Legal Business Name | GUZMAN PSYCHIATRIC NURSING SERVICES CORPORATION
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 415 W ROUTE 66 STE 202
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City | GLENDORA
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State | CA
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Zip | 91740-4335
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Country | US
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Telephone | 626-963-4467
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W ROUTE 66 STE 202
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City | GLENDORA
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State | CA
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Zip | 91740-4335
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Country | US
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Telephone | 714-726-3623
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LYNN GUZMAN
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Credential |
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Telephone | 714-726-3623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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