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General NPI Number Information
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NPI Number | 1669579132
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Entity Type | Individual
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Provider Name | TODD M GUYETTE MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 12911 120TH AVE NE SUITE H-10
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City | KIRKLAND
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State | WA
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Zip | 98034
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Country | US
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Telephone | 425-823-4224
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Fax | 425-820-8975
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Provider Business Mailing Address
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Address Line | 805 MADISON ST SUITE 901
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City | SEATTLE
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State | WA
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Zip | 98104-1172
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Country | US
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Telephone | 206-264-8100
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Fax | 206-264-8689
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD00042525
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | MD00042525
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License Number State | WA
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