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General NPI Number Information
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NPI Number | 1427655703
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Entity Type | Individual
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Provider Name | GILBERT EDWARD GUERRERO LMSW
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Gender | Male
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 13747 MONTFORT DR
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City | DALLAS
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State | TX
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Zip | 75240-4454
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Country | US
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Telephone | 214-506-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 2239 TRINITY SPRINGS DR
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City | CARROLLTON
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State | TX
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Zip | 75007-5946
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Country | US
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Telephone | 972-360-8055
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 63154
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License Number State | TX
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