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General NPI Number Information
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NPI Number | 1700386208
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Entity Type | Individual
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Provider Name | CRYSTAL DAWN GUERRERO
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Gender | Female
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 2585 S DANVILLE DR
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City | ABILENE
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State | TX
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Zip | 79605-6414
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Country | US
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Telephone | 325-690-0583
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Fax |
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Provider Business Mailing Address
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Address Line | 318 ROSELAWN ST
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City | COLEMAN
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State | TX
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Zip | 76834-7014
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Country | US
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Telephone | 325-214-4365
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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 | 328480
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License Number State | TX
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