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General NPI Number Information
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NPI Number | 1588871719
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Entity Type | Organization
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Legal Business Name | JAMES S. GUERRERO PLLC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5001 AMERICAN BLVD W SUITE 550
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1108
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Country | US
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Telephone | 952-842-0882
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Fax | 952-842-0883
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Provider Business Mailing Address
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Address Line | 5001 AMERICAN BLVD W SUITE 550
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1108
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Country | US
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Telephone | 952-842-0882
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Fax | 952-842-0883
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES SAMUEL GUERRERO
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Credential | M.D.
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Telephone | 952-842-0882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 19891
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License Number State | MN
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