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General NPI Number Information
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NPI Number | 1679830798
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Entity Type | Individual
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Provider Name | ALLAN G GUERRA NP
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Gender | Male
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 425 JACK MARTIN BLVD
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City | BRICK
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State | NJ
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Zip | 08724-7732
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Country | US
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Telephone | 732-741-2700
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Fax | 732-398-6405
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Provider Business Mailing Address
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Address Line | 105 RAIDER BLVD STE. 101
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1528
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Country | US
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Telephone | 908-281-0221
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Fax | 908-281-0940
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00365400
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License Number State | NJ
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