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General NPI Number Information
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NPI Number | 1689152308
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Entity Type | Individual
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Provider Name | CASSIE LEE GUNTER APRN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 1256 N EISENHOWER DR STE 700
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City | BECKLEY
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State | WV
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Zip | 25801-3120
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Country | US
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Telephone | 304-254-2415
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Fax | 304-250-0220
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Provider Business Mailing Address
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Address Line | 41 ORIOLE LN
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City | FENWICK
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State | WV
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Zip | 26202-0904
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Country | US
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Telephone | 304-846-2856
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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 | APRN88845NP
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License Number State | WV
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