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NPI 1548285745

NPI 1548285745 : DIANE ANTOINETTE GUIDA RN-C : WILMINGTON, NC

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General NPI Number Information
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    NPI Number           |    1548285745
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    Entity Type          |    Individual 
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    Provider Name        |    DIANE ANTOINETTE GUIDA RN-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2714 MARKET ST 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28403-1218
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    Country              |    US
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    Telephone            |    910-254-9898
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    Fax                  |    910-254-9818
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Provider Business Mailing Address
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    Address Line         |    207 NUN ST 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28401-5019
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    Country              |    US
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    Telephone            |    910-254-9505
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    NC
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