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General NPI Number Information
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NPI Number | 1518937168
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Entity Type | Individual
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Provider Name | PAUL M GUIDERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1110 E. MISSOURI AVE, SUITE 110
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City | PHOENIX
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State | AZ
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Zip | 85014
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Country | US
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Telephone | 602-812-7520
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Fax | 602-883-7211
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Provider Business Mailing Address
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Address Line | P.O. BOX 206
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City | WADDELL
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State | AZ
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Zip | 85355
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Country | US
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Telephone | 602-812-7520
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Fax | 602-883-7211
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 23486
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License Number State | AZ
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