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General NPI Number Information
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NPI Number | 1982697033
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Entity Type | Individual
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Provider Name | PAUL NEIL GUERRIERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 04/16/2017
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Provider Practice Location Address
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Address Line | 99 DUTCH HILL RD
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City | ORANGEBURG
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State | NY
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Zip | 10962-2185
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Country | US
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Telephone | 845-359-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CHATEAU RIDGE DR
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City | GREENWICH
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State | CT
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Zip | 06831-2940
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Country | US
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Telephone | 203-861-0708
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Fax | 203-861-6866
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 158997
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 031410
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 25MA05393900
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License Number State | NJ
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