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General NPI Number Information
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NPI Number | 1871530634
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Entity Type | Individual
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Provider Name | GUILHERME CANTUARIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 960 JOHNSON FERRY RD STE 130
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City | ATLANTA
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State | GA
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Zip | 30342-1631
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Country | US
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Telephone | 404-300-2990
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Fax | 404-300-2986
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Provider Business Mailing Address
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Address Line | 960 JOHNSON FERRY RD STE 130
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City | ATLANTA
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State | GA
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Zip | 30342-1631
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Country | US
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Telephone | 404-300-2990
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Fax | 404-300-2986
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 02103
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 065227
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License Number State | GA
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