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General NPI Number Information
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NPI Number | 1053284091
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Entity Type | Organization
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Legal Business Name | SALEM GUNN ENTERPRISES
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 514 FRANKLIN AVE UNIT 108
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City | BERLIN
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State | MD
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Zip | 21811
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Country | US
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Telephone | 410-973-1030
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Fax | 410-973-1029
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Provider Business Mailing Address
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Address Line | 514 FRANKLIN AVE UNIT 108
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City | BERLIN
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State | MD
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Zip | 21811
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Country | US
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Telephone | 410-973-1030
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Fax | 410-973-1029
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM GUNN
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Credential | MD
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Telephone | 256-541-6130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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