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General NPI Number Information
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NPI Number | 1386631638
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Entity Type | Individual
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Provider Name | LOUIS JOHN GUARNIERI DC
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1247 WYOMING AVE
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City | FORTY-FORT
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State | PA
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Zip | 18704-4101
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Country | US
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Telephone | 570-288-9998
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Fax | 570-288-8430
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Provider Business Mailing Address
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Address Line | 1247 WYOMING AVE
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City | FORTY-FORT
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State | PA
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Zip | 18704-4101
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Country | US
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Telephone | 570-288-9998
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Fax | 570-288-8430
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC002138L
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License Number State | PA
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