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General NPI Number Information
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NPI Number | 1114447927
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Entity Type | Individual
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Provider Name | DOUGLAS A GUIFFRIDA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 45 ALLENS CREEK RD
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City | ROCHESTER
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State | NY
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Zip | 14618-3227
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Country | US
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Telephone | 585-754-7369
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PEARL BUSH DR
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City | PENFIELD
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State | NY
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Zip | 14526-1277
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Country | US
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Telephone | 585-209-9021
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 000152
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License Number State | NY
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