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General NPI Number Information
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NPI Number | 1669846754
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Entity Type | Organization
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Legal Business Name | JULIO C. GUILLEN, JR. MD LLC
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2235 PALMER AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-6369
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Country | US
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Telephone | 504-432-3207
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Fax |
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Provider Business Mailing Address
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Address Line | 2235 PALMER AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-6369
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Country | US
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Telephone | 504-362-2829
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Fax |
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Authorized Official
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Title or Position | MD
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Name | JULIO C. GUILLEN
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Credential | MD
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Telephone | 504-432-3207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.024214
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License Number State | LA
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