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General NPI Number Information
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NPI Number | 1861292120
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Entity Type | Individual
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Provider Name | ARTHUR XAVIER GUEVARA II
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Gender |
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2150 THRESHER AVE USS ALABAMA SSBN 731
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City | SILVERDALE
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State | WA
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Zip | 98315
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Country | US
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Telephone | 910-650-7282
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 SUNRAY WAY APT 102
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City | SNEADS FERRY
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State | NC
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Zip | 28460-8343
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Country | US
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Telephone | 910-650-7282
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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 | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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