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General NPI Number Information
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NPI Number | 1730919846
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Entity Type | Individual
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Provider Name | PRISCILLA GUZMAN RN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 1717 4TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90401-3319
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Country | US
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Telephone | 310-450-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 5211 VERONICA ST
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City | LOS ANGELES
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State | CA
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Zip | 90008-1134
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Country | US
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Telephone | 714-488-2237
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 769490
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License Number State | CA
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