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General NPI Number Information
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NPI Number | 1215003843
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Entity Type | Individual
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Provider Name | CHARLES F VON GUNTEN MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 4314 MIDDLESEX DR
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City | SAN DIEGO
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State | CA
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Zip | 92116-2139
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Country | US
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Telephone | 619-607-9564
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Fax |
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Provider Business Mailing Address
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Address Line | 4314 MIDDLESEX DR
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City | SAN DIEGO
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State | CA
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Zip | 92116-2139
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Country | US
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Telephone | 619-607-9564
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | G85243
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License Number State | CA
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