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General NPI Number Information
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NPI Number | 1932649951
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Entity Type | Organization
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Legal Business Name | TERI L GUYER
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 1520 29TH AVE
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City | GULFPORT
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State | MS
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Zip | 39501-2843
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Country | US
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Telephone | 614-477-5467
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Fax |
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Provider Business Mailing Address
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Address Line | 1066 CONLEY CIR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-9707
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Country | US
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Telephone | 614-477-5467
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERI GUYER
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Credential | LPC
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Telephone | 614-477-5467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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