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General NPI Number Information
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NPI Number | 1295242410
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Entity Type | Individual
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Provider Name | DYLAN GUINEY
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Gender | Male
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 17782 COWAN STE A
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City | IRVINE
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State | CA
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Zip | 92614-6041
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Country | US
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Telephone | 949-722-7118
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Fax |
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Provider Business Mailing Address
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Address Line | 9735 PORT ROYAL CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-7520
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Country | US
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Telephone | 714-290-3396
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95030727
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95008466
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License Number State | CA
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