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General NPI Number Information
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NPI Number | 1477951515
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Entity Type | Individual
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Provider Name | TAUNA GULLEY PHD, FNP, MSN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 169 SUFFOLK AVE STE 1
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City | RICHLANDS
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State | VA
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Zip | 24641-2434
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Country | US
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Telephone | 276-963-0111
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Fax |
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Provider Business Mailing Address
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Address Line | P.O.BOX 7070
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City | WISE
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State | VA
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Zip | 24293
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Country | US
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Telephone | 276-328-8850
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Fax | 276-328-8853
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | 0024128995
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024128995
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License Number State | VA
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