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General NPI Number Information
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NPI Number | 1437673746
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Entity Type | Individual
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Provider Name | MRS. DANIELLE GUIDE
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 242 MAIN STREET
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City | AMESBURY
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State | MA
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Zip | 01913
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Country | US
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Telephone | 978-388-7500
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Fax | 978-834-5942
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Provider Business Mailing Address
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Address Line | 242 MAIN ST
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City | AMESBURY
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State | MA
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Zip | 01913-3764
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Country | US
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Telephone | 978-388-7500
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Fax | 978-834-5942
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | DA00955
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License Number State | MA
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