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General NPI Number Information
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NPI Number | 1245703743
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Entity Type | Individual
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Provider Name | GUY NGUEPNANG
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Gender | Male
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 3261 THEODORE R HAGANS DR NE
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City | WASHINGTON
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State | DC
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Zip | 20018-4317
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Country | US
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Telephone | 240-547-8662
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 GAWAYNE TER
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City | SILVER SPRING
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State | MD
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Zip | 20906-2656
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Country | US
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Telephone | 240-547-8662
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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