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General NPI Number Information
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NPI Number | 1538670260
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Entity Type | Organization
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Legal Business Name | DOCTORGUARIN LLC
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 3143 ANTICA ST
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City | FORT MYERS
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State | FL
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Zip | 33905
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Country | US
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Telephone | 515-518-7438
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Fax |
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Provider Business Mailing Address
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Address Line | 3143 ANTICA ST
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City | FORT MYERS
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State | FL
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Zip | 33905
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Country | US
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Telephone | 515-518-7438
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ESGAR GUARIN
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Credential | M.D.
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Telephone | 515-518-7438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | ME131279
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License Number State | FL
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