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General NPI Number Information
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NPI Number | 1093356560
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Entity Type | Individual
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Provider Name | ASHLEY INEZ GUERIN
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Gender | Female
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 1001 SNEATH LN STE 201
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City | SAN BRUNO
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State | CA
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Zip | 94066-2349
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Country | US
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Telephone | 650-214-1444
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Fax | 650-244-1447
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Provider Business Mailing Address
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Address Line | 4083 19TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-3009
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Country | US
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Telephone | 415-519-8996
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 101YA0400X
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License Number State | CA
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