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General NPI Number Information
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NPI Number | 1346492758
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Entity Type | Organization
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Legal Business Name | ANGEL A GUERRA MD PA
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 9600 SW 8TH ST SUITE 23 B
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City | MIAMI
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State | FL
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Zip | 33174-2900
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Country | US
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Telephone | 786-382-7312
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Fax | 305-228-9628
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Provider Business Mailing Address
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Address Line | 11365 NW 7TH ST APT 204
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City | MIAMI
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State | FL
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Zip | 33172-3583
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Country | US
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Telephone | 786-382-7312
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGEL A GUERRA
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Credential | MD
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Telephone | 786-382-7312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME96982
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License Number State | FL
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