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General NPI Number Information
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NPI Number | 1033115381
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Entity Type | Individual
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Provider Name | FUHUA HOLLY GUO MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1601 E 4TH PLAIN BLVD OFC
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 360-759-1901
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Fax | 360-759-1685
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Provider Business Mailing Address
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Address Line | 515 SE 200TH PL
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City | CAMAS
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State | WA
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Zip | 98607-8610
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Country | US
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Telephone | 360-798-5152
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00040178
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License Number State | WA
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