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General NPI Number Information
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NPI Number | 1740687169
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Entity Type | Individual
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Provider Name | SUZANNE GUINAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 92 CAMPUS DR STE D
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7229
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Country | US
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Telephone | 207-662-8900
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Fax | 207-774-9388
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Provider Business Mailing Address
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Address Line | 58 OSBORNE AVE
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-4442
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Country | US
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Telephone | 207-232-7263
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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 | CNP141062
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License Number State | ME
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