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General NPI Number Information
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NPI Number | 1528506516
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Entity Type | Organization
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Legal Business Name | WILLIAM P GUINAN, MD AND ASSOCIATES LLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 25 OAKLAND ROAD
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074
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Country | US
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Telephone | 860-644-9578
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Fax |
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Provider Business Mailing Address
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Address Line | 25 OAKLALND ROAD
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074
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Country | US
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Telephone | 860-644-9578
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM P GUINAN
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Credential | M.D.
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Telephone | 860-644-9578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 028847
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License Number State | CT
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