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General NPI Number Information
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NPI Number | 1568710861
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Entity Type | Individual
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Provider Name | GUYFORD JONAS PA
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Gender | Male
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Dates
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Enumeration Date | 08/17/2012
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Last Update Date | 08/17/2012
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Provider Practice Location Address
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Address Line | 1949 4TH ST NE NE
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City | WASHINGTON
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State | DC
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Zip | 20002-1211
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Country | US
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Telephone | 202-462-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 16907 SUMMERS LN
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City | BRANDYWINE
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State | MD
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Zip | 20613-8394
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Country | US
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Telephone | 703-314-9245
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA162
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0001272
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License Number State | MD
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