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General NPI Number Information
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NPI Number | 1497949499
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Entity Type | Individual
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Provider Name | JACQUELINE LIZARDO GUZMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2007
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 10320 W MCDOWELL RD STE 5015
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City | AVONDALE
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State | AZ
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Zip | 85392-4869
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Country | US
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Telephone | 623-980-2150
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Fax | 480-546-3821
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Provider Business Mailing Address
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Address Line | 10320 W MCDOWELL RD STE 5015
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City | AVONDALE
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State | AZ
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Zip | 85392-4869
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Country | US
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Telephone | 469-500-2458
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Fax | 480-546-3821
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 8941
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | AP8686
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP8686
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License Number State | AZ
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