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General NPI Number Information
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NPI Number | 1710789912
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Entity Type | Individual
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Provider Name | EFRAIN GUADALUPE LUGO GUZMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1700 E SAUNDERS ST
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City | LAREDO
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State | TX
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Zip | 78041-5474
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Country | US
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Telephone | 956-796-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 585 25 1/2 RD TRLR 74
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-6941
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Country | US
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Telephone | 970-880-3167
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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