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General NPI Number Information
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NPI Number | 1508356734
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Entity Type | Individual
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Provider Name | KARLA GUERRA DO
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 1 RIVERSIDE CIR
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City | ROANOKE
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State | VA
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Zip | 24016-4961
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Country | US
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Telephone | 540-581-0254
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Fax | 540-581-0120
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 1006
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone | 540-224-5715
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Fax | 540-224-5684
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0102207163
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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