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General NPI Number Information
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NPI Number | 1710348024
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Entity Type | Individual
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Provider Name | EDISSON GUAMAN
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Gender | Male
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 12373 COLONY PRESERVE DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-5807
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Country | US
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Telephone | 561-617-0686
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Fax |
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Provider Business Mailing Address
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Address Line | 12373 COLONY PRESERVE DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-5807
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9110396
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License Number State | FL
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