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General NPI Number Information
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NPI Number | 1386449981
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Entity Type | Individual
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Provider Name | LUZMARIA GUILLEN DNP FNP-BC RN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 18310 MONTGOMERY VILLAGE AVE STE 460
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3565
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Country | US
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Telephone | 301-977-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 11161 NEW HAMPSHIRE AVE STE 301
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City | SILVER SPRING
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State | MD
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Zip | 20904-2606
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Country | US
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Telephone | 301-681-7101
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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 | 95033204
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License Number State | CA
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