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General NPI Number Information
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NPI Number | 1487400800
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Entity Type | Individual
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Provider Name | ANDREA GUARIN DC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 1255 JOHNSON FERRY RD STE 26
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City | MARIETTA
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State | GA
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Zip | 30068-2728
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Country | US
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Telephone | 678-819-2556
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Fax |
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Provider Business Mailing Address
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Address Line | 6015 STATE BRIDGE RD APT 11108
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City | JOHNS CREEK
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State | GA
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Zip | 30097-8235
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Country | US
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Telephone | 201-491-1638
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR011177
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License Number State | GA
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