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General NPI Number Information
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NPI Number | 1053162347
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Entity Type | Organization
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Legal Business Name | GUION MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 7533 S CENTER VIEW CT STE N
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City | WEST JORDAN
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State | UT
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Zip | 84084-5526
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Country | US
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Telephone | 602-503-9866
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Fax |
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Provider Business Mailing Address
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Address Line | 5402 BALBOA ARMS DR UNIT 406
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City | SAN DIEGO
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State | CA
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Zip | 92117-5080
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | BRADLEY GUION
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Credential | PA-C
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Telephone | 602-503-9869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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