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General NPI Number Information
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NPI Number | 1841707668
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Entity Type | Organization
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Legal Business Name | GUIDING LIGHT HEALTHCARE SERVICES
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 124 HOSPITAL DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-4204
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Country | US
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Telephone | 478-449-8800
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Fax | 478-225-6504
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Provider Business Mailing Address
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Address Line | 124 HOSPITAL DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-4204
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Country | US
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Telephone | 478-449-8800
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Fax | 478-225-6504
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Authorized Official
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Title or Position | CEO
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Name | DONALD SHORTER
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Credential |
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Telephone | 478-449-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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