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General NPI Number Information
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NPI Number | 1508237587
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Entity Type | Individual
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Provider Name | GERALD GUEVARRA DUNGO FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 317 6TH AVE
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City | DES MOINES
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State | IA
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Zip | 50309-4109
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Country | US
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Telephone | 423-275-5200
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Fax | 866-393-3754
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Provider Business Mailing Address
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Address Line | 1005 BLUEBELL BROOK ST
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City | HENDERSON
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State | NV
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Zip | 89052-4538
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Country | US
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Telephone | 714-390-3386
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95003197
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN002363
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License Number State | NV
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