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General NPI Number Information
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NPI Number | 1942496955
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Entity Type | Organization
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Legal Business Name | ALICIA K GUICE MD PLLC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 10503 W THUNDERBIRD BLVD SUITE 112
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City | SUN CITY
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State | AZ
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Zip | 85351
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Country | US
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Telephone | 623-933-7900
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Fax | 623-933-6883
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Provider Business Mailing Address
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Address Line | 10503 W THUNDERBIRD BLVD SUITE 112
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City | SUN CITY
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State | AZ
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Zip | 85351
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Country | US
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Telephone | 623-933-7900
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Fax | 623-933-6883
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA KAYLE GUICE
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Credential | MD
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Telephone | 623-933-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 28062
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28062
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License Number State | AZ
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