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General NPI Number Information
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NPI Number | 1992314058
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Entity Type | Individual
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Provider Name | JUAN MIGUEL GUZMAN OTERO
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Gender | Male
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 7811 CORAL WAY STE 138
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 786-266-1652
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Fax | 786-266-1653
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Provider Business Mailing Address
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Address Line | 7520 SW 18TH ST
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City | MIAMI
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State | FL
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Zip | 33155-1522
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Country | US
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Telephone | 786-266-1652
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Fax | 305-266-1653
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11008281
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License Number State | FL
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