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NPI 1780314476

NPI 1780314476 : ALEXANDRA GUZIK : ANNAPOLIS, MD

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General NPI Number Information
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    NPI Number           |    1780314476
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDRA GUZIK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2022
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    Last Update Date     |    12/18/2024
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Provider Practice Location Address
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    Address Line         |    2001 MEDICAL PARKWAY MEDICAL STAFF SERVICES
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21401
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    Country              |    US
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    Telephone            |    443-481-4150
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    225 HARBOR DR 
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    City                 |    SEVERNA PARK
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    State                |    MD
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    Zip                  |    21146-1319
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    Country              |    US
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    Telephone            |    410-300-6008
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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        |    163WN0002X
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    Taxonomy Name        |    Neonatal Intensive Care Registered Nurse
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    License Number       |    R212408
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    363LN0000X
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    Taxonomy Name        |    Neonatal Nurse Practitioner
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    License Number       |    0024184927
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    363LN0000X
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    Taxonomy Name        |    Neonatal Nurse Practitioner
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    License Number       |    R212408
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    License Number State |    MD
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