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General NPI Number Information
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NPI Number | 1336235134
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Entity Type | Individual
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Provider Name | KATHY B GUNNER P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 5656 KELLEY ST
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City | HOUSTON
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State | TX
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Zip | 77026-1967
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Country | US
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Telephone | 713-566-5656
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Fax | 713-635-1648
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Provider Business Mailing Address
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Address Line | PO BOX 301173
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City | DALLAS
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State | TX
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Zip | 75303-1173
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Country | US
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Telephone | 713-500-3500
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 443164
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License Number State | TX
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