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General NPI Number Information
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NPI Number | 1558581686
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Entity Type | Individual
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Provider Name | WILLIAM J GUNDERMAN DC
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Gender | Male
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 20231 E OCOTILLO RD 1
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City | QUEEN CREEK
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State | AZ
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Zip | 85242
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Country | US
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Telephone | 480-987-0585
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Fax | 480-987-0585
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Provider Business Mailing Address
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Address Line | 20231 E OCOTILLO RD 1
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City | QUEEN CREEK
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State | AZ
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Zip | 85242
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Country | US
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Telephone | 480-987-0585
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Fax | 480-987-0585
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4962
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111NT0100X
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Taxonomy Name | Thermography Chiropractor
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License Number | 2736
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 394
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License Number State | AZ
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