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General NPI Number Information
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NPI Number | 1003782863
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Entity Type | Individual
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Provider Name | IDA ESTELLE DUNSON RN
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Gender | Female
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 500 MADISON AVE STE 200
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City | TOLEDO
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State | OH
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Zip | 43604-1230
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Country | US
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Telephone | 567-312-8704
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Fax | 567-312-8753
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Provider Business Mailing Address
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Address Line | 209 E MAIN ST
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City | TROTWOOD
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State | OH
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Zip | 45426-2844
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Country | US
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Telephone | 937-760-1117
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 527735
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License Number State | OH
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