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General NPI Number Information
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NPI Number | 1457658726
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Entity Type | Organization
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Legal Business Name | GUITONS MICROBOARD
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 5413 LILAC GROVE LN
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City | ROSHARON
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State | TX
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Zip | 77583-8162
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Country | US
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Telephone | 713-825-4986
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Fax | 713-723-6730
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Provider Business Mailing Address
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Address Line | PO BOX 212
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City | MISSOURI CITY
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State | TX
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Zip | 77459-0212
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Country | US
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Telephone | 713-825-4986
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Fax | 713-723-6730
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Authorized Official
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Title or Position | FOUNDER PRESIDENT
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Name | CYNTHIA RENEE GUITON
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Credential |
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Telephone | 713-825-4986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | TX
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