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General NPI Number Information
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NPI Number | 1750649471
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Entity Type | Individual
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Provider Name | KATHRYN MORRIS GUNNISON M.D., M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 102 S 11TH ST
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City | SAN JOSE
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State | CA
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Zip | 95112-2132
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Country | US
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Telephone | 408-495-9471
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Fax | 408-279-2841
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Provider Business Mailing Address
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Address Line | 1530 THE ALAMEDA STE 301
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City | SAN JOSE
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State | CA
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Zip | 95126-2303
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Country | US
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Telephone | 914-374-2818
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Fax | 408-982-5584
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | A124321
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A124321
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License Number State | CA
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