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General NPI Number Information
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NPI Number | 1730653833
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Entity Type | Individual
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Provider Name | GUIRLENE S CLERVOIX
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Gender | Female
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 1 PLEASANT PL
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City | NEW CASTLE
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State | DE
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Zip | 19720-3005
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Country | US
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Telephone | 718-791-1839
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PLEASANT PL
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City | NEW CASTLE
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State | DE
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Zip | 19720-3005
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Country | US
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Telephone | 718-791-1839
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0001221
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010480
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License Number State | DE
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