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General NPI Number Information
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NPI Number | 1396629358
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Entity Type | Individual
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Provider Name | VICTORIA GRACE JEANFREAU GUIDRY
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1 TAMPA GENERAL CIR
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City | TAMPA
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State | FL
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Zip | 33606-3571
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Country | US
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Telephone | 813-844-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 214 TWIN OAKS RD W
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City | PINEVILLE
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State | LA
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Zip | 71360-7743
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Country | US
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Telephone | 318-955-7820
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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