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General NPI Number Information
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NPI Number | 1649169228
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Entity Type | Individual
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Provider Name | ERICK CHRISTOPHER GUZMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 910 REVOLUTION ST
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3718
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Country | US
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Telephone | 410-919-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 4974 BRISTLE CONE CIR
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City | ABERDEEN
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State | MD
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Zip | 21001-2604
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Country | US
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Telephone | 410-493-2205
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 07473
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License Number State | MD
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