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General NPI Number Information
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NPI Number | 1205156312
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Entity Type | Organization
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Legal Business Name | GULIN GUNERI LTD
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 3523 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60657-1137
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Country | US
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Telephone | 773-426-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 520 N KINGSBURY ST SUITE 2008
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City | CHICAGO
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State | IL
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Zip | 60654-8766
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Country | US
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Telephone | 773-426-1616
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST / PRESIDENT
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Name | DR. GULIN GUNERI
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Credential | PSY.D.
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Telephone | 773-426-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 071007503
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License Number State | IL
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