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General NPI Number Information
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NPI Number | 1346827185
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Entity Type | Organization
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Legal Business Name | HGD, INC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 32 CHURCH STREET GUNN DERMATOLOGY
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City | MOUNTAIN BROOK
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State | AL
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Zip | 35213
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Country | US
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Telephone | 205-415-7536
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Fax | 936-244-4503
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Provider Business Mailing Address
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Address Line | 32 CHURCH STREET
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City | MOUNTAIN BROOK
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State | AL
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Zip | 35213
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Country | US
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Telephone | 205-415-7536
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Fax | 936-244-4503
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Authorized Official
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Title or Position | MD, OWNER
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Name | DR. HOLLY JEANETTE WIMPEE GUNN
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Credential | MD
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Telephone | 251-401-9076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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