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General NPI Number Information
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NPI Number | 1679363048
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Entity Type | Individual
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Provider Name | GUYNA DACIUS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 111 S MAITLAND AVE STE 205
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City | MAITLAND
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State | FL
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Zip | 32751-5647
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Country | US
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Telephone | 888-587-0335
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 TEMPLE RD W
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City | FORT MYERS
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State | FL
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Zip | 33967-3741
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Country | US
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Telephone | 239-634-1564
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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 | SW24590
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License Number State | FL
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