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General NPI Number Information
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NPI Number | 1396074795
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Entity Type | Individual
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Provider Name | O'NEIL W. GUTHRIE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | LOMA LINDA VA HOSPITAL 151 11201 BENTON STREET
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City | LOMA LINDA
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State | CA
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Zip | 92357-0001
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Country | US
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Telephone | 909-825-7084
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Fax | 909-796-4508
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Provider Business Mailing Address
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Address Line | LOMA LINDA VA HOSPITAL 151 11201 BENTON STREET
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City | LOMA LINDA
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State | CA
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Zip | 92357-0001
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Country | US
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Telephone | 909-825-7084
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Fax | 909-796-4508
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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