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General NPI Number Information
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NPI Number | 1861069882
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Entity Type | Individual
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Provider Name | ANDREW GILES MARKMAN GUZICK PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 500 OFFICE SUITE DRIVE SUITE 400
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-3234
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Country | US
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Telephone | 215-259-8234
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Fax |
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Provider Business Mailing Address
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Address Line | 1977 BUTLER BLVD STE 400
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City | HOUSTON
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State | TX
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Zip | 77030-4101
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Country | US
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Telephone | 713-798-4857
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS019601
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License Number State | PA
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