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General NPI Number Information
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NPI Number | 1639681398
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Entity Type | Individual
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Provider Name | PATRICIA ANNE GUYRE LSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 1450 E BOOT RD
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City | WEST CHESTER
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State | PA
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Zip | 19380-5300
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Country | US
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Telephone | 610-883-6334
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Fax | 610-883-6334
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Provider Business Mailing Address
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Address Line | 15 WALNUT DR
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City | LINCOLN UNIVERSITY
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State | PA
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Zip | 19352-8921
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Country | US
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Telephone | 610-883-6334
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW133940
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License Number State | PA
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