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General NPI Number Information
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NPI Number | 1457535262
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Entity Type | Organization
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Legal Business Name | AMELIA A. GUNTER, M.D.P.A.
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 920 SANTA FE DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-5864
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Country | US
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Telephone | 817-598-1202
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Fax | 817-598-1210
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Provider Business Mailing Address
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Address Line | PO BOX 1838 914 FOSTER LANE
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City | WEATHERFORD
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State | TX
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Zip | 76086-7838
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Country | US
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Telephone | 817-598-1202
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Fax | 817-598-1210
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Authorized Official
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Title or Position | M.D.
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Name | DR. AMELIA ANN GUNTER
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Credential | M.D.
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Telephone | 817-598-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | K9793
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License Number State | TX
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