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General NPI Number Information
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NPI Number | 1326411240
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Entity Type | Individual
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Provider Name | DANIELLE KRSINICH MILLER GUDNASON N.D.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 50 E MAIN AVE STE A
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City | MORGAN HILL
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State | CA
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Zip | 95037-3661
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Country | US
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Telephone | 408-664-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 15895 JACKSON OAKS DR
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City | MORGAN HILL
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State | CA
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Zip | 95037-6803
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Country | US
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Telephone | 916-837-3668
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Fax | 844-395-8837
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1338
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60610911
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License Number State | WA
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