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General NPI Number Information
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NPI Number | 1952514648
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Entity Type | Individual
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Provider Name | ROSEMARY JEAN GUNST M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 4444 W LAKE POTOMAC VW APT. B
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City | GREENFIELD
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State | IN
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Zip | 46140-7338
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Country | US
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Telephone | 317-417-1137
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Fax | 317-861-5134
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Provider Business Mailing Address
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Address Line | 4444 W LAKE POTOMAC VW APT. B
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City | GREENFIELD
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State | IN
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Zip | 46140-7338
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Country | US
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Telephone | 317-417-1137
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Fax | 317-861-5134
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22002755A
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License Number State | IN
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