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NPI 1497368534

NPI 1497368534 : NORMA ERIKA GUILLEN : MIRAMAR BEACH, FL

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General NPI Number Information
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    NPI Number           |    1497368534
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    Entity Type          |    Individual 
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    Provider Name        |    NORMA ERIKA GUILLEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2020
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    495 GRAND BLVD STE 206 
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    City                 |    MIRAMAR BEACH
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    State                |    FL
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    Zip                  |    32550-1897
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    Country              |    US
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    Telephone            |    850-607-6910
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    Fax                  |    850-607-6932
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Provider Business Mailing Address
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    Address Line         |    307 N NAVY BLVD 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32507-2007
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    Country              |    US
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    Telephone            |    850-607-4781
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-25-84591
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    License Number State |    FL
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