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General NPI Number Information
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NPI Number | 1013074319
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Entity Type | Individual
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Provider Name | JOHN R GUETTER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 2023 TOWN SQ N
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City | MANHEIM
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State | PA
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Zip | 17545-8262
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Country | US
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Telephone | 717-665-2674
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Fax | 717-560-2117
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Provider Business Mailing Address
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Address Line | 2023 TOWN SQ N
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City | MANHEIM
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State | PA
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Zip | 17545-8262
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Country | US
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Telephone | 717-665-2674
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Fax | 717-560-2117
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS008167-L
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License Number State | PA
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