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General NPI Number Information
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NPI Number | 1790281541
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Entity Type | Individual
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Provider Name | YOLANDA GUZMAN
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Gender | Female
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 2301 ERWIN ROAD
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City | DURHAM
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State | NC
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Zip | 27710
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Country | US
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Telephone | 919-684-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 5TH AVE APT 36H
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City | NEW YORK
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State | NY
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Zip | 10029-5255
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Country | US
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Telephone | 908-672-0233
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 310157
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 310157
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License Number State | NY
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