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General NPI Number Information
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NPI Number | 1730332156
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Entity Type | Individual
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Provider Name | HORACE ANTHONY GUNN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 438 DECKNER AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-4406
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Country | US
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Telephone | 404-245-3515
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Fax | 404-753-0843
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Provider Business Mailing Address
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Address Line | 438 DECKNER AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-4406
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Country | US
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Telephone | 404-755-0111
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN008421
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License Number State | GA
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