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General NPI Number Information
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NPI Number | 1164965141
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Entity Type | Individual
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Provider Name | STEVEN GUNTER NP
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Gender | Male
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 330 TURNER MCCALL BLVD SW SUITE 201
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City | ROME
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State | GA
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Zip | 30165-5630
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Country | US
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Telephone | 706-509-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 4751 JULIAN WAY
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City | ACWORTH
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State | GA
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Zip | 30101-6228
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Country | US
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Telephone | 770-596-9696
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN198661
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License Number State | GA
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