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General NPI Number Information
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NPI Number | 1073306890
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Entity Type | Individual
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Provider Name | JASON MICHAEL GURSKY MS, MPH, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2025
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 7327 CALLE ALMA
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City | CARLSBAD
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State | CA
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Zip | 92009-7606
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Country | US
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Telephone | 760-452-6749
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Fax |
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Provider Business Mailing Address
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Address Line | 7327 CALLE ALMA
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City | CARLSBAD
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State | CA
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Zip | 92009-7606
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Country | US
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Telephone | 760-452-6749
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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Taxonomy #2
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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