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General NPI Number Information
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NPI Number | 1477369494
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Entity Type | Individual
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Provider Name | CHRISTIAN LEVI GUZMAN DPT
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Gender | Male
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 3710 CENTER ST STE 102
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City | DEER PARK
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State | TX
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Zip | 77536-6104
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Country | US
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Telephone | 281-476-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 8506 FAIRBROOK LN
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City | LA PORTE
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State | TX
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Zip | 77571-3777
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Country | US
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Telephone | 832-584-3596
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1401793
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1401793
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License Number State | TX
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