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NPI 1508068925

NPI 1508068925 : DEE GUNDERSON M.S.N., A.P.N : FRANKLIN, TN

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General NPI Number Information
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    NPI Number           |    1508068925
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    Entity Type          |    Individual 
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    Provider Name        |    DEE GUNDERSON M.S.N., A.P.N
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/05/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1404 MARRIMANS CT 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-8576
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    Country              |    US
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    Telephone            |    805-714-9849
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1404 MARRIMANS CT 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-8576
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    Country              |    US
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    Telephone            |    805-714-9849
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    APN0000010439
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    License Number State |    TN
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