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General NPI Number Information
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NPI Number | 1386700102
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Entity Type | Individual
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Provider Name | RICHARD L GUIDROZ PT
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 132 EAST FIFTH ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-352-9643
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Fax | 318-352-9660
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Provider Business Mailing Address
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Address Line | PO BOX 2002 132 EAST FIFTH ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-352-9643
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Fax | 318-352-9660
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 264
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License Number State | LA
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