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General NPI Number Information
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NPI Number | 1598084386
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Entity Type | Individual
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Provider Name | LAURA GUADIANA MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3374 GREYSTONE WAY
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City | VALDOSTA
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State | GA
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Zip | 31605-1096
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Country | US
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Telephone | 229-247-9911
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Fax | 229-247-8844
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Provider Business Mailing Address
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Address Line | 4370 KINGS WAY STE E
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City | VALDOSTA
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State | GA
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Zip | 31602-6905
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Country | US
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Telephone | 229-433-8181
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Fax | 229-293-7803
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 078515
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 78515
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License Number State | GA
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