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General NPI Number Information
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NPI Number | 1689304776
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Entity Type | Individual
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Provider Name | MELISSA LAUREN GUIDA MS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 1100 WALNUT ST STE 602
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 24 JACQUELINE CT
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City | LANOKA HARBOR
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State | NJ
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Zip | 08734-2229
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Country | US
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Telephone | 732-779-6947
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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