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General NPI Number Information
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NPI Number | 1659699957
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Entity Type | Individual
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Provider Name | JOSEPH TASKER GUNDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE BOX 604
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 781-278-6591
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 604
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 253896
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 253896
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 253896
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 299152
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License Number State | NY
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