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General NPI Number Information
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NPI Number | 1780645085
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Entity Type | Individual
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Provider Name | BECKY LYNN GUY MA
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 3475 LEONARDTOWN RD STE 102
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City | WALDORF
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State | MD
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Zip | 20601-3678
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Country | US
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Telephone | 301-374-8477
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Fax | 301-374-8432
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Provider Business Mailing Address
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Address Line | 12108 OLD LINE CTR
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City | WALDORF
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State | MD
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Zip | 20602-2553
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Country | US
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Telephone | 301-638-3440
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Fax | 301-638-3442
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 00710
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License Number State | MD
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