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General NPI Number Information
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NPI Number | 1659879039
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Entity Type | Individual
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Provider Name | DAVID GUZMAN LVN
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Gender | Male
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 840 CTY RD 420
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City | SPICEWOOD
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State | TX
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Zip | 78669
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Country | US
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Telephone | 830-798-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E YAGER LN APT 523
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City | AUSTIN
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State | TX
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Zip | 78753-1673
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Country | US
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Telephone | 512-969-9787
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 312025
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License Number State | TX
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