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General NPI Number Information
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NPI Number | 1215855101
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Entity Type | Organization
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Legal Business Name | GUTHRIE MEDICAL GROUP PC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 720 WILLOW AVE
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City | ITHACA
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State | NY
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Zip | 14850-3215
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Country | US
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Telephone | 607-219-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GUTHRIE SQ
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City | SAYRE
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State | PA
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Zip | 18840-1625
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | WENDY SOWLE
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Credential |
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Telephone | 570-887-3295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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