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General NPI Number Information
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NPI Number | 1598411662
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Entity Type | Organization
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Legal Business Name | FGUYER LLC
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Dates
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Enumeration Date | 02/26/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1521 E IRLO BRONSON MEMORIAL HWY
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City | SAINT CLOUD
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State | FL
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Zip | 34771-5821
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Country | US
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Telephone | 888-891-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 8377 CORKFIELD AVE
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City | ORLANDO
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State | FL
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Zip | 32832-5008
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Country | US
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Telephone | 608-217-7768
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SLEEM F'GUYER
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Credential | MD
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Telephone | 608-217-7768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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