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General NPI Number Information
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NPI Number | 1467160127
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Entity Type | Organization
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Legal Business Name | J GUZMAN NURSE PRACTITIONER IN FAMILY HEALTH PC
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 577 W 161ST ST
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City | NEW YORK
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State | NY
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Zip | 10032-6146
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Country | US
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Telephone | 646-717-7741
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Fax |
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Provider Business Mailing Address
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Address Line | 671 BRONX RIVER RD APT 4A
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City | YONKERS
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State | NY
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Zip | 10704-1728
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Country | US
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Telephone | 646-591-3388
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEANNETTE GUZMAN
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Credential | FNP-BC
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Telephone | 646-591-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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