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General NPI Number Information
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NPI Number | 1467114611
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Entity Type | Individual
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Provider Name | BRITTNEY ANN GUNNESON PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 800 BOSTON POST ROAD
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City | GUILFORD
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State | CT
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Zip | 06437
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Country | US
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Telephone | 877-925-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 764 DEVONWOOD DR
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City | CHESHIRE
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State | CT
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Zip | 06410-1552
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Country | US
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Telephone | 203-645-9488
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5558
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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