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General NPI Number Information
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NPI Number | 1720378169
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Entity Type | Individual
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Provider Name | CESAR ENRIQUE GUERRERO MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 05/07/2023
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Provider Practice Location Address
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Address Line | 80 S MAIN ST
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City | GRENADA
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State | MS
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Zip | 38901-2620
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Country | US
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Telephone | 662-307-9030
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Fax | 662-307-9038
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Provider Business Mailing Address
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Address Line | 80 S MAIN ST
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City | GRENADA
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State | MS
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Zip | 38901-2620
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Country | US
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Telephone | 662-307-9030
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 56136
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 29717
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 29717
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 261924
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | ME116247
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 56136
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | MD.32613
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License Number State | AL
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Taxonomy #8
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 29717
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License Number State | MS
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Taxonomy #9
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 29717
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License Number State | MS
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