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General NPI Number Information
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NPI Number | 1780369298
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Entity Type | Individual
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Provider Name | BRIANNA MARIA GUZMAN AUD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1630 SHERMAN AVE STE 100
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City | EVANSTON
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State | IL
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Zip | 60201-3711
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Country | US
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Telephone | 847-535-6464
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Fax | 224-271-4870
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Provider Business Mailing Address
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Address Line | 1630 SHERMAN AVE STE 100
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City | EVANSTON
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State | IL
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Zip | 60201-3711
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Country | US
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Telephone | 847-535-6464
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Fax | 224-271-4870
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 147002050
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23002819A
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License Number State | IN
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