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General NPI Number Information
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NPI Number | 1396278792
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Entity Type | Individual
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Provider Name | ANYAMAY KING GUNNING
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Gender | Female
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 1318 H ST
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City | ARCATA
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State | CA
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Zip | 95521-5837
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Country | US
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Telephone | 831-535-3997
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Fax |
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Provider Business Mailing Address
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Address Line | 1000A EMELINE AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95060-1900
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Country | US
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Telephone | 831-425-0112
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Fax | 831-425-1847
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 275266
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 20090
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License Number State | CA
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