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General NPI Number Information
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NPI Number | 1982348868
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Entity Type | Individual
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Provider Name | HALLIE KATHRYN SPEARS GUNST FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 325 HAWTHORNE LN STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28204-2536
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Country | US
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Telephone | 704-372-5180
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Fax | 704-376-6280
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Provider Business Mailing Address
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Address Line | 1518 E 3RD ST STE 250
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City | CHARLOTTE
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State | NC
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Zip | 28204-3192
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Country | US
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Telephone | 704-944-6330
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Fax | 704-337-8387
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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 | 5016125
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5016125
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License Number State | NC
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