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General NPI Number Information
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NPI Number | 1720381759
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Entity Type | Organization
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Legal Business Name | NESTOR M. GUERRERO, M.D., P.A.
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 37740 MERIDIAN AVE
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City | DADE CITY
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State | FL
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Zip | 33525-4221
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Country | US
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Telephone | 352-521-3266
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Fax | 352-521-3267
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Provider Business Mailing Address
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Address Line | 37740 MERIDIAN AVE
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City | DADE CITY
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State | FL
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Zip | 33525-4221
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Country | US
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Telephone | 352-521-3266
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Fax | 352-521-3267
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NESTOR MANUEL GUERRERO
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Credential | M.D.
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Telephone | 352-521-3266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME43778
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License Number State | FL
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