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General NPI Number Information
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NPI Number | 1104962117
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Entity Type | Individual
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Provider Name | NICHOLE E GUZZY M.S.ED., PCC - SUPV
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 8544 HICKORY HILL DR STE 5
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City | POLAND
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State | OH
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Zip | 44514-5262
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Country | US
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Telephone | 330-259-0426
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 S SCHENLEY AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-2108
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Country | US
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Telephone | 330-518-2524
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0008400
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License Number State | OH
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