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General NPI Number Information
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NPI Number | 1629553961
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Entity Type | Individual
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Provider Name | ALFREDO LEE GUZMAN MS
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 980 EASTMONT AVE
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-6602
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Country | US
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Telephone | 509-662-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 600 ORONDO AVE STE 1
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City | WENATCHEE
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State | WA
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Zip | 98801-2800
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Country | US
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Telephone | 509-662-6000
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CG60164334
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MC60737376
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License Number State | WA
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