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General NPI Number Information
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NPI Number | 1881564342
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Entity Type | Organization
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Legal Business Name | HOSPITAL SAN JOSE DE GUAYMAS
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1 MARIA ALBERTO CONTRERAS ZAVALA BLVD MANLIO FABIO BELTRONES 100
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City | GUAYMAS
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State | SONORA
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Zip | 85500
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 625 KENMOOR AVE SE STE 301
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JAVIER EZQUERRA
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Credential | MD
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Telephone | 801-896-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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