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General NPI Number Information
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NPI Number | 1295748101
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Entity Type | Individual
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Provider Name | WILLIAM L. GUY PH.D., M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 22170 W 9 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034-6007
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Country | US
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Telephone | 313-319-8429
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Fax |
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Provider Business Mailing Address
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Address Line | 16 RIVERBANK DR
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-4808
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Country | US
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Telephone | 313-319-8429
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301063551
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License Number State | MI
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