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General NPI Number Information
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NPI Number | 1134219322
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Entity Type | Individual
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Provider Name | PAMELA R GUIDER APN, PMHNP, NP-PP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 240 WEST TYRONE ROAD
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City | OAK RIDGE
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State | TN
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Zip | 37830
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Country | US
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Telephone | 865-482-1076
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Fax | 865-481-6179
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Provider Business Mailing Address
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Address Line | 36 SW NYE ST
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City | NEWPORT
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State | OR
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Zip | 97365-3821
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Country | US
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Telephone | 865-482-1076
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Fax | 865-481-6179
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201607736NP-PP
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License Number State | OR
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