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General NPI Number Information
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NPI Number | 1457619207
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Entity Type | Individual
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Provider Name | XIMENA GUIMET PA
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 603 N FLAMINGO RD 357
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1023
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Country | US
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Telephone | 954-450-8488
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 N SHERMAN CIR 107
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City | MIRAMAR
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State | FL
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Zip | 33025-5161
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Country | US
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Telephone | 954-654-5633
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 9106462
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License Number State | FL
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