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General NPI Number Information
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NPI Number | 1477740991
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Entity Type | Organization
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Legal Business Name | DARRYL K. GUISTWITE, D.O. INC.
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 56 ASHTON ST
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City | CARLISLE
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State | PA
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Zip | 17015-6914
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Country | US
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Telephone | 717-609-2639
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Fax | 717-258-3140
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Provider Business Mailing Address
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Address Line | 56 ASHTON ST
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City | CARLISLE
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State | PA
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Zip | 17015-6914
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Country | US
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Telephone | 717-609-2639
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Fax | 717-258-3140
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARRYL K GUISTWITE
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Credential | D.O.
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Telephone | 717-609-2639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS010715L
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License Number State | PA
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