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General NPI Number Information
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NPI Number | 1831057702
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Entity Type | Individual
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Provider Name | BOBBY JAMES GUICHET JR. BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 400 W DOUGLAS ST
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City | JEFFERSON
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State | TX
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Zip | 75657-1004
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Country | US
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Telephone | 318-557-6443
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 653
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City | JEFFERSON
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State | TX
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Zip | 75657-0653
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Country | US
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Telephone | 318-557-6443
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 1215916
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License Number State | TX
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