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General NPI Number Information
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NPI Number | 1770126880
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Entity Type | Individual
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Provider Name | GREGORY GUERRIER CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1000 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1000
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Country | US
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Telephone | 516-705-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 155 CROSS CREEK PKWY APT 425
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City | HATTIESBURG
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State | MS
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Zip | 39402-4425
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Country | US
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Telephone | 516-297-6844
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 686803
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 686803
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License Number State | NY
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