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General NPI Number Information
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NPI Number | 1578833430
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Entity Type | Individual
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Provider Name | SCOTT RYAN MCGUINNESS LMHC, LPC, LADC, NCC
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Gender | Male
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 3 SAREDON PLACE SUITE 300
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City | ROCHESTER
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State | NY
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Zip | 14606
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Country | US
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Telephone | 860-704-9641
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SAREDON PL SUITE 300
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City | ROCHESTER
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State | NY
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Zip | 14606-4070
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Country | US
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Telephone | 860-704-9641
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 46.002435
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 44.001120
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18 006457
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License Number State | NY
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