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General NPI Number Information
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NPI Number | 1629306444
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Entity Type | Organization
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Legal Business Name | NEAL HAMILTON GUFFEY, JR. MD PLLC
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 755 HIGHLAND OAKS DR SUITE 102
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City | WINSTON SALEM
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State | NC
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Zip | 27103-7106
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Country | US
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Telephone | 336-768-4460
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Fax | 336-659-8759
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Provider Business Mailing Address
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Address Line | 755 HIGHLAND OAKS DR SUITE 102
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City | WINSTON SALEM
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State | NC
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Zip | 27103-7106
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Country | US
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Telephone | 336-768-4460
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Fax | 336-659-8759
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NEAL HAMILTON GUFFEY JR.
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Credential | M.D. PLLC
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Telephone | 336-768-4460
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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 | 9500489
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License Number State | NC
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