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General NPI Number Information
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NPI Number | 1699890616
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Entity Type | Individual
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Provider Name | ALFREDO GUZMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 96 ALI WAY
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City | OXFORD
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State | AL
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Zip | 36203-1835
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Country | US
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Telephone | 256-832-4141
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Fax | 256-832-4153
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Provider Business Mailing Address
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Address Line | 909 BOSWELL DR
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City | OXFORD
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State | AL
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Zip | 36203-2213
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Country | US
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Telephone | 334-718-0862
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Fax | 256-832-4153
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12483
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License Number State | PR
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