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General NPI Number Information
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NPI Number | 1548557291
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Entity Type | Individual
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Provider Name | THELMA DUMAPIT GUZMAN RN, MS, ANP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 01/24/2021
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Provider Practice Location Address
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Address Line | 741 BROADWAY
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City | NEWARK
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State | NJ
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Zip | 07104-4309
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Country | US
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Telephone | 973-214-4383
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Fax | 973-455-0601
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Provider Business Mailing Address
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Address Line | 153 AUTUMN RIDGE RD
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-1198
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Country | US
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Telephone | 973-214-4383
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00018600
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License Number State | NJ
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