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General NPI Number Information
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NPI Number | 1508469388
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Entity Type | Individual
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Provider Name | MISAEL GUERRERO RPH
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 780 NE ALSBURY BLVD STE 2
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City | BURLESON
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State | TX
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Zip | 76028-2673
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Country | US
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Telephone | 682-628-8111
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Fax | 682-206-0211
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Provider Business Mailing Address
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Address Line | 780 NE ALSBURY BLVD STE 2
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City | BURLESON
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State | TX
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Zip | 76028-2673
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Country | US
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Telephone | 682-628-8111
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Fax | 682-206-0211
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 66084
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License Number State | TX
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