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General NPI Number Information
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NPI Number | 1700973153
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Entity Type | Organization
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Legal Business Name | GUILLERMO P GUBBINS MD PA
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 3661 S MIAMI AVE 1006
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City | MIAMI
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State | FL
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Zip | 33133-4236
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Country | US
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Telephone | 305-854-2621
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Fax |
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Provider Business Mailing Address
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Address Line | 3661 S MIAMI AVE 1006
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City | MIAMI
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State | FL
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Zip | 33133-4236
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | GUILLERMO GUBBINS
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Credential |
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Telephone | 305-854-2621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 65439
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License Number State | FL
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