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General NPI Number Information
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NPI Number | 1730138835
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Entity Type | Organization
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Legal Business Name | GUIDROZ PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 132 EAST FIFTH STREET
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-352-9643
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Fax | 318-352-9660
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Provider Business Mailing Address
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Address Line | 132 EAST FIFTH STREET PO BOX 2002
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-352-9643
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Fax | 318-352-9660
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. RICHARD L GUIDROZ
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Credential | PT
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Telephone | 318-352-9643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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