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General NPI Number Information
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NPI Number | 1104204130
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Entity Type | Organization
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Legal Business Name | KATHI GUNN ARNP FNP-BC PBP, PLLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 519 EUREKA WAY STE 1
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City | SEQUIM
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State | WA
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Zip | 98382
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Country | US
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Telephone | 360-808-7533
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 806
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City | CARLSBORG
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State | WA
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Zip | 98324
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ARNP
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Name | MS. KATHI L. GUNN
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Credential | ARNP
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Telephone | 360-808-2859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP30002430
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License Number State | WA
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