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Individual
DR. JIM GUO
Active
Individual
DR. JIM GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2262
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376763383
NPI FED ID ACUPUNCTURE CH
MA
01
—
29905
BCBSRI
RI
01
—
404715
BLUE CHIP
RI
01
—
Y36582
BCBSMA
MA
01
—
Y39931
BCBSMA GROUP
MA
Enumeration date
08/01/2006
Last updated
07/11/2007
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