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General NPI Number Information
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NPI Number | 1215816095
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Entity Type | Individual
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Provider Name | GUNNAR LAURENCE HAUSER DPT
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Gender | Male
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1294 W 6TH ST STE 101
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City | SAN PEDRO
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State | CA
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Zip | 90731-2997
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Country | US
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Telephone | 310-547-1850
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Fax | 310-547-1972
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Provider Business Mailing Address
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Address Line | 1294 W 6TH ST STE 101
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City | SAN PEDRO
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State | CA
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Zip | 90731-2997
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Country | US
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Telephone | 310-547-1850
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Fax | 310-547-1972
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 308510
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License Number State | CA
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