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General NPI Number Information
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NPI Number | 1881784049
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Entity Type | Individual
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Provider Name | HUMBERTO A GUTIERREZ DO
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1111 W 6TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90017-1800
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Country | US
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Telephone | 213-975-9626
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Fax | 213-895-0637
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Provider Business Mailing Address
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Address Line | 1600 E HILL ST
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City | SIGNAL HILL
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State | CA
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Zip | 59075-3682
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Country | US
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Telephone | 562-424-6200
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Fax | 562-427-4634
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A7232
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License Number State | CA
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