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General NPI Number Information
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NPI Number | 1366620239
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Entity Type | Individual
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Provider Name | GARY ROBIN MCGUFFIN PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 10800 SE 17TH CIRCLE
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City | VANCOUVER
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State | WA
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Zip | 98664-6219
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Country | US
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Telephone | 360-892-7900
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Fax | 360-892-7900
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Provider Business Mailing Address
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Address Line | PO BOX 871542
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City | VANCOUVER
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State | WA
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Zip | 98687-1542
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Country | US
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Telephone | 360-892-7900
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Fax | 360-892-7900
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1861
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1137
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License Number State | OR
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