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General NPI Number Information
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NPI Number | 1285018002
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Entity Type | Individual
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Provider Name | ASHLEIGH GUICH
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Gender | Female
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 7520 S SHINGLE RD
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City | SHINGLE SPRINGS
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State | CA
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Zip | 95682-8081
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Country | US
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Telephone | 530-280-5531
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Fax | 208-518-1286
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Provider Business Mailing Address
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Address Line | 7520 S SHINGLE RD
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City | SHINGLE SPRINGS
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State | CA
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Zip | 95682-8081
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Country | US
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Telephone | 916-280-5531
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11518947
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License Number State | CA
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