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General NPI Number Information
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NPI Number | 1710863527
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Entity Type | Individual
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Provider Name | PEDRO GUZMAN TAPIA
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Gender | Male
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1001 AVE PONCE DE LEON STE 1
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City | SAN JUAN
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State | PR
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Zip | 00907-3641
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Country | US
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Telephone | 954-231-5484
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Fax | 239-379-4385
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Provider Business Mailing Address
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Address Line | 1112 CALLE GUADALAJARA
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City | CAROLINA
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State | PR
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Zip | 00983-1641
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Country | US
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Telephone | 787-547-0482
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 4220
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License Number State | PR
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