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General NPI Number Information
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NPI Number | 1942419783
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Entity Type | Individual
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Provider Name | CHRISTINA M. DE GUIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 269 S OSPREY AVE SUITE 200
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City | SARASOTA
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State | FL
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Zip | 34236-6805
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Country | US
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Telephone | 941-364-3629
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Fax | 941-227-4724
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Provider Business Mailing Address
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Address Line | 1445 S OSPREY AVE STE 2
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City | SARASOTA
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State | FL
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Zip | 34239-2920
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Country | US
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Telephone | 941-364-3629
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Fax | 941-227-4724
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 245726-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME111114
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME111114
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License Number State | FL
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