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General NPI Number Information
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NPI Number | 1477562643
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Entity Type | Individual
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Provider Name | CARLA L GUGGENHEIM DO
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 1106 N CEDAR ST SUITE 2A
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City | LANSING
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State | MI
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Zip | 48906-5334
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Country | US
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Telephone | 517-267-0107
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Fax | 517-267-9523
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Provider Business Mailing Address
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Address Line | 1106 N CEDAR ST SUITE 2A
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City | LANSING
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State | MI
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Zip | 48906-5334
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Country | US
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Telephone | 517-267-0107
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Fax | 517-267-9523
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | CG010463
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License Number State | MI
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