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General NPI Number Information
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NPI Number | 1366238412
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Entity Type | Individual
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Provider Name | GARRETT J GUY
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Gender | Male
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 7862 EL CAJON BLVD
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City | LA MESA
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State | CA
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Zip | 91942-6712
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Country | US
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Telephone | 858-264-5858
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Fax | 858-649-6012
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Provider Business Mailing Address
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Address Line | 9829 CAMINITO MARLOCK APT 43
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City | SAN DIEGO
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State | CA
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Zip | 92131-2031
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25-426176
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License Number State | CA
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