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General NPI Number Information
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NPI Number | 1134587157
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Entity Type | Organization
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Legal Business Name | GUILFORD BEHAVIORAL SERVICES, PLLC
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 307 S CHAPMAN ST
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City | GREENSBORO
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State | NC
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Zip | 27403-1613
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Country | US
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Telephone | 336-404-9286
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Fax |
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Provider Business Mailing Address
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Address Line | 307 S CHAPMAN ST
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City | GREENSBORO
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State | NC
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Zip | 27403-1613
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Country | US
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Telephone | 336-404-9286
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Fax |
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Authorized Official
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Title or Position | SOLE/MANAGING MEMBER
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Name | DR. DANIEL LEE SANDER
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Credential | PHD, LPC
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Telephone | 336-404-9286
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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 | PC10773
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License Number State | NC
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