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General NPI Number Information
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NPI Number | 1487739314
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Entity Type | Individual
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Provider Name | LOUIS KEITH GUINN MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 315 E PUSHMATAHA ST
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City | BUTLER
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State | AL
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Zip | 36904-0678
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Country | US
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Telephone | 205-459-4499
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Fax | 205-459-5348
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Provider Business Mailing Address
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Address Line | 315 E PUSHMATAHA ST P O BOX 678
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City | BUTLER
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State | AL
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Zip | 36904-0678
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Country | US
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Telephone | 205-459-4499
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Fax | 205-459-5348
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13769
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17028
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License Number State | MS
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