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General NPI Number Information
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NPI Number | 1629890793
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Entity Type | Individual
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Provider Name | ERIKA GUEVARRA RN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 401 N MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60611-4255
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Country | US
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Telephone | 312-635-0973
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Fax |
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Provider Business Mailing Address
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Address Line | 4714 W IRVING PARK RD APT 315
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City | CHICAGO
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State | IL
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Zip | 60641-1215
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Country | US
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Telephone | 248-417-0854
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Fax |
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 041.485664
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License Number State | IL
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