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General NPI Number Information
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NPI Number | 1538233192
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Entity Type | Individual
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Provider Name | MARIA MERCEDES GUERRA MD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 13200 STRICKLAND RD # R SUITE 120
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City | RALEIGH
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State | NC
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Zip | 27613-5212
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Country | US
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Telephone | 919-720-4876
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Fax | 855-861-0602
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Provider Business Mailing Address
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Address Line | 13200 STRICKLAND RD # R SUITE 120
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City | RALEIGH
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State | NC
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Zip | 27613-5212
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Country | US
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Telephone | 919-720-4876
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Fax | 855-861-0602
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 046190
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2013-01597
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License Number State | NC
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