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General NPI Number Information
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NPI Number | 1952991333
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Entity Type | Individual
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Provider Name | GABRIELLA MARIE GUNTER CPM
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 505 N 2ND ST
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City | LONGVIEW
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State | TX
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Zip | 75601-6439
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Country | US
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Telephone | 903-392-0230
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Fax | 833-790-2495
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Provider Business Mailing Address
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Address Line | PO BOX 384
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City | CASON
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State | TX
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Zip | 75636-0384
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Country | US
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Telephone | 938-853-0967
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 20120022
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License Number State |
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