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General NPI Number Information
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NPI Number | 1841314176
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Entity Type | Individual
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Provider Name | SUSAN MAPES GUERINO L.AC., M.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9170 STATE ROUTE 108 STE 202
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City | COLUMBIA
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State | MD
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Zip | 21045-1917
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Country | US
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Telephone | 410-730-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 29 WELLSPRING DR
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City | BEAR
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State | DE
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Zip | 19701-1360
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Country | US
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Telephone | 302-832-7459
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01058
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License Number State | MD
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