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General NPI Number Information
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NPI Number | 1609686831
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Entity Type | Individual
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Provider Name | AMANDA M GUNN MA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 2859 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92104-1292
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Country | US
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Telephone | 866-940-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 4685 49TH ST # 2
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City | SAN DIEGO
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State | CA
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Zip | 92115-3240
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Country | US
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Telephone | 213-200-4859
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC10080
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License Number State | CA
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