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General NPI Number Information
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NPI Number | 1457322398
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Entity Type | Individual
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Provider Name | CHRISTOPHER GUTH PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 101 KNOTBREAK RD
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City | SALEM
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State | VA
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Zip | 24153-5404
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Country | US
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Telephone | 540-444-4020
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Fax | 540-444-4021
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR FL HP2
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City | BRENTWOOD
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State | TN
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Zip | 37027-4525
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Country | US
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Telephone | 615-373-7600
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Fax | 877-767-2310
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0110840730
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License Number State | VA
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