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General NPI Number Information
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NPI Number | 1417404955
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Entity Type | Individual
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Provider Name | CLAUDIA LIZBETH GUILLEN NP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 5801 OAKBEND TRL STE 220
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City | FORT WORTH
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State | TX
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Zip | 76132-3916
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Country | US
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Telephone | 817-346-4327
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 74008272
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City | CHICAGO
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State | IL
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Zip | 60674-8272
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Country | US
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Telephone | 702-899-0595
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP130392
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP130392
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License Number State | TX
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