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General NPI Number Information
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NPI Number | 1003038712
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Entity Type | Individual
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Provider Name | ASHLEY LEE DUNN A.P., C.H.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 134 SW KNOX ST
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City | LAKE CITY
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State | FL
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Zip | 32025-5259
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Country | US
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Telephone | 386-754-6793
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Fax |
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Provider Business Mailing Address
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Address Line | 134 SW KNOX ST
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City | LAKE CITY
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State | FL
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Zip | 32025-5259
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Country | US
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Telephone | 386-754-6793
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1089
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License Number State | FL
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