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General NPI Number Information
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NPI Number | 1659741171
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Entity Type | Individual
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Provider Name | DAVID GUION PH.D,
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Gender | Male
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Dates
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Enumeration Date | 09/26/2015
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 9671 SLIDING HILL RD STE 204
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City | ASHLAND
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State | VA
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Zip | 23005-7989
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Country | US
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Telephone | 804-221-2042
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Fax | 804-258-4351
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Provider Business Mailing Address
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Address Line | 9116 DOVE CREEK PL
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2868
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Country | US
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Telephone | 804-380-2775
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Fax | 804-258-4351
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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 | 0810005208
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License Number State | VA
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