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General NPI Number Information
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NPI Number | 1932145349
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Entity Type | Organization
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Legal Business Name | PETER GUHL PLC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 4102 GEORGE WASHINGTON MEM HWY
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City | YORKTOWN
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State | VA
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Zip | 23692-2885
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Country | US
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Telephone | 757-890-2020
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Fax | 757-890-9125
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Provider Business Mailing Address
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Address Line | 4102 GEORGE WASHINGTON MEM HWY
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City | YORKTOWN
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State | VA
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Zip | 23692-2885
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Country | US
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Telephone | 757-890-2020
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Fax | 757-890-9125
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Authorized Official
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Title or Position | OWNER
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Name | PETER L GUHL
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Credential | OD
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Telephone | 757-890-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 0618000215
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 0618000215
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 0618000215
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number | 0618000215
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License Number State | VA
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