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General NPI Number Information
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NPI Number | 1124386263
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Entity Type | Organization
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Legal Business Name | GUERSON MANAGEMENT
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 237 HANBURY ROAD SUITE 17-198
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City | CHESAPEAKE
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State | VA
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Zip | 23322
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Country | US
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Telephone | 252-435-1665
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Fax | 252-435-2111
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Provider Business Mailing Address
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Address Line | 1693 CARATOKE HIGHWAY
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City | MOYOCK
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State | NC
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Zip | 27958
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Country | US
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Telephone | 252-435-1665
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Fax | 252-435-2111
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORAH LEE WILSON
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Credential | BCBA D, PSY
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Telephone | 252-435-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1-06-2991
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License Number State | CA
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