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General NPI Number Information
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NPI Number | 1700896313
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Entity Type | Individual
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Provider Name | SUZANNE M GUYNES MD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 411 W JOSEPHINE ST
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City | WEATHERFORD
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State | TX
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Zip | 76086-5247
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Country | US
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Telephone | 817-637-4358
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Fax | 817-594-5870
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Provider Business Mailing Address
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Address Line | PO BOX 92878
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City | SOUTHLAKE
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State | TX
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Zip | 76092-0878
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Country | US
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Telephone | 817-470-6676
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Fax | 541-637-0298
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H9968
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License Number State | TX
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