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General NPI Number Information
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NPI Number | 1770118416
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Entity Type | Organization
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Legal Business Name | GUIDO A.PEREZ, M.D., INC.
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 701 NW 57TH AVE STE 260
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City | MIAMI
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State | FL
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Zip | 33126-2083
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Country | US
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Telephone | 305-267-4123
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Fax |
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Provider Business Mailing Address
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Address Line | 701 NW 57TH AVE STE 260
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City | MIAMI
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State | FL
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Zip | 33126-2083
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Country | US
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Telephone | 305-267-4123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GUIDO PEREZ
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Credential | MD
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Telephone | 305-267-4123
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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 |
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License Number State |
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