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General NPI Number Information
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NPI Number | 1093835159
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Entity Type | Individual
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Provider Name | GARY EDWIN GUNDERSON ED. D, MS LP
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 702 SW 5TH ST
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City | BRAINERD
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State | MN
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Zip | 56401-3997
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Country | US
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Telephone | 218-454-6369
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Fax |
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Provider Business Mailing Address
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Address Line | 28022 COUNTY ROAD 107
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City | PEQUOT LAKES
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State | MN
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Zip | 56472-3312
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Country | US
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Telephone | 218-838-2448
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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 | LP2801
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License Number State | MN
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