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General NPI Number Information
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NPI Number | 1629449822
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Entity Type | Individual
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Provider Name | MR. ALBERTO GUZMAN
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Gender | Male
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2G
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-224-2772
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Fax | 305-397-2200
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Provider Business Mailing Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2G
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 786-728-1019
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Fax | 305-397-2200
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA61922
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License Number State | FL
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