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General NPI Number Information
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NPI Number | 1629389937
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Entity Type | Individual
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Provider Name | FERDINAND D GUARIN PT
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Gender | Male
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 4540 CENTER BLVD APT 3009
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City | LONG ISLAND CITY
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State | NY
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Zip | 11109-5821
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Country | US
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Telephone | 718-779-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 8411 QUEENS BLVD UNIT 3
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City | ELMHURST
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State | NY
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Zip | 11373-3098
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Country | US
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Telephone | 718-779-5588
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Fax | 718-658-0306
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 030254
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License Number State | NY
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