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General NPI Number Information
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NPI Number | 1316750490
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Entity Type | Individual
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Provider Name | GLENDA N GUEVARA MA, LAMFT
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 75 LEE CT
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City | JERSEY CITY
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State | NJ
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Zip | 07305-5500
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Country | US
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Telephone | 732-795-0850
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BEAUMONT TER
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3912
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Country | US
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Telephone | 201-362-3520
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37FA00046900
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License Number State | NJ
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