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General NPI Number Information
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NPI Number | 1205083755
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Entity Type | Individual
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Provider Name | ELIZABETH S GUNST OD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 14460 FALLS OF NEUSE RD STE 125
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City | RALEIGH
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State | NC
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Zip | 27614-8227
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Country | US
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Telephone | 919-847-4665
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Fax |
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Provider Business Mailing Address
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Address Line | 2797 SOUTH CHARLES BLVD
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City | GREENVILLE
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State | NC
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Zip | 27858-5933
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Country | US
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Telephone | 252-756-6031
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Fax | 252-756-9737
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2123
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License Number State | NC
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