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General NPI Number Information
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NPI Number | 1700740149
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Entity Type | Organization
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Legal Business Name | GUARDIAN PHYSICIAN GROUP LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 716 E DORCHESTER DR
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City | SAINT JOHNS
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State | FL
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Zip | 32259-6286
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Country | US
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Telephone | 904-646-8788
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Fax | 904-734-6281
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Provider Business Mailing Address
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Address Line | 716 E DORCHESTER DR
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City | SAINT JOHNS
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State | FL
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Zip | 32259-6286
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Country | US
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Telephone | 904-646-8788
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Fax | 904-734-6281
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Authorized Official
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Title or Position | CEO
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Name | DR. EDWARD ORSHANSKY
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Credential | MD
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Telephone | 904-646-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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