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General NPI Number Information
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NPI Number | 1922703933
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Entity Type | Individual
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Provider Name | KEVIN S GUERRA-OLIVEIRA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 2000 BANKS RD STE 223
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City | MARGATE
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State | FL
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Zip | 33063-7771
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Country | US
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Telephone | 800-716-7917
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Fax |
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Provider Business Mailing Address
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Address Line | 12605 NW 6TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4420
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Country | US
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Telephone | 800-716-7917
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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