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General NPI Number Information
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NPI Number | 1952115412
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Entity Type | Individual
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Provider Name | CARMEN GISELLE PROSPER GUZMAN NURSE MSN
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | BO PALMAREJO, CARR 164
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-400-3034
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 5824
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City | COROZAL
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State | PR
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Zip | 00783-8801
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Country | US
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Telephone | 787-400-3034
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 5511-E
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5511-E
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License Number State | PR
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