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General NPI Number Information
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NPI Number | 1154962108
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Entity Type | Individual
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Provider Name | BRIDGET GUNN MA MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 195 MONTAGUE ST FL 14
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City | BROOKLYN
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State | NY
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Zip | 11201-3631
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Country | US
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Telephone | 646-661-5210
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Fax |
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Provider Business Mailing Address
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Address Line | 20 E 18TH ST APT B9
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City | BROOKLYN
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State | NY
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Zip | 11226-2739
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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