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General NPI Number Information
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NPI Number | 1467407486
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Entity Type | Organization
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Legal Business Name | GIUSEPPE GUAITOLI, M.D., P.A.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 9776 BONITA BEACH RD SUITE 202-A
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4773
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Country | US
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Telephone | 239-947-4822
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Fax | 239-947-9150
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Provider Business Mailing Address
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Address Line | 9776 BONITA BEACH RD SUITE 202-A
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4773
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Country | US
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Telephone | 239-947-4822
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Fax | 239-947-9150
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Authorized Official
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Title or Position | M.D.
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Name | GIUSEPPE GUAITOLI
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Credential | M.D.
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Telephone | 239-947-4822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME86609
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License Number State | FL
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