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General NPI Number Information
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NPI Number | 1700559499
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Entity Type | Organization
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Legal Business Name | NASTAZIA GUY PLLC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 7 THE FARM RD
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City | MCDONOUGH
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State | GA
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Zip | 30252-5619
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Country | US
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Telephone | 702-809-7855
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Fax |
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Provider Business Mailing Address
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Address Line | 7 THE FARM RD
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City | MCDONOUGH
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State | GA
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Zip | 30252-5619
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Country | US
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Telephone | 702-809-7855
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NASTAZIA GUY
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Credential | LCSW
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Telephone | 702-809-7855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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