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General NPI Number Information
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NPI Number | 1841293354
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Entity Type | Individual
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Provider Name | KEITH BRYAN GUESS PA
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 4189 WESTLAWN S
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City | IOWA CITY
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State | IA
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Zip | 52242-1100
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Country | US
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Telephone | 319-335-8370
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Fax | 319-335-7247
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Provider Business Mailing Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 319-335-8370
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Fax | 319-335-7247
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085-001376
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001170
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License Number State | IA
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