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General NPI Number Information
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NPI Number | 1124109517
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Entity Type | Individual
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Provider Name | STEVEN HENRY GUNNELLS CRNA, APRN
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 300 UTAH ST
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City | HIAWATHA
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State | KS
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Zip | 66434-2314
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Country | US
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Telephone | 785-742-2131
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Fax | 785-742-6588
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Provider Business Mailing Address
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Address Line | 2561 LINDEN ROAD
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City | HIAWATHA
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State | KS
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Zip | 66434
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Country | US
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Telephone | 785-742-2131
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Fax | 785-742-6588
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4355160
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 55160
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License Number State | KS
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