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General NPI Number Information
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NPI Number | 1942792676
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Entity Type | Individual
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Provider Name | JOHN K GUFFEY RPH
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Gender | Male
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 12607 SE MILL PAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98684-4098
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Country | US
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Telephone | 360-891-6214
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Fax |
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Provider Business Mailing Address
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Address Line | 2432 NW 29TH AVE
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City | CAMAS
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State | WA
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Zip | 98607-7338
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Country | US
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Telephone | 360-834-0872
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PH00045488
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License Number State | WA
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