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General NPI Number Information
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NPI Number | 1720576515
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Entity Type | Individual
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Provider Name | CYNTHIA SELENA GUZMAN MSW
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Gender | Female
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 1241 N TANEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-4660
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Country | US
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Telephone | 215-278-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 166 E 24TH ST
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City | PATERSON
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State | NJ
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Zip | 07514-2114
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Country | US
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Telephone | 862-397-9059
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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 | 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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