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General NPI Number Information
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NPI Number | 1558526434
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Entity Type | Organization
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Legal Business Name | C D GUIGNARD LLC
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 4700 FOREST DR SUITE 202
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City | COLUMBIA
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State | SC
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Zip | 29206-3119
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Country | US
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Telephone | 803-960-9361
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Fax | 803-748-4755
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Provider Business Mailing Address
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Address Line | 4700 FOREST DR SUITE 202
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City | COLUMBIA
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State | SC
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Zip | 29206-3119
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Country | US
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Telephone | 803-960-9361
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Fax | 803-748-4755
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Authorized Official
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Title or Position | COUNSELOR
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Name | CLAUDIA D GUIGNARD
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Credential | RN MED EDS
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Telephone | 803-960-9361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3635
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4099
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License Number State | SC
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