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NPI 1356342174

NPI 1356342174 : CATHERINE DIANE GUERRA DDS : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1356342174
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE DIANE GUERRA DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/02/2005
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    Last Update Date     |    03/31/2025
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Provider Practice Location Address
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    Address Line         |    1359 INTERQUEST PARKWAY SUITE 100
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80921-8333
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    Country              |    US
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    Telephone            |    719-374-5496
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    Fax                  |    719-900-7795
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Provider Business Mailing Address
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    Address Line         |    1359 INTERQUEST PARKWAY SUITE 100
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80921-8333
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    Country              |    US
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    Telephone            |    719-360-2403
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    Fax                  |    719-632-6283
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    7212
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DEN.00007212
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    License Number State |    CO
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