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General NPI Number Information
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NPI Number | 1538521042
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Entity Type | Individual
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Provider Name | LOREN SHARRI GUZMAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 2900 MEDICAL CENTER PKWY SUITE 110
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City | BENTONVILLE
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State | AR
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Zip | 72712-3055
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Country | US
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Telephone | 479-715-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 MEDICAL CENTER PKWY SUITE 110
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City | BENTONVILLE
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State | AR
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Zip | 72712
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Country | US
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Telephone | 479-715-4262
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Fax |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036.152009
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License Number State | IL
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