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General NPI Number Information
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NPI Number | 1013476951
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Entity Type | Individual
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Provider Name | ANDREA PITTMAN DUNN MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 22454 US HIGHWAY 72 STE 310
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City | ATHENS
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State | AL
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Zip | 35613-2678
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Country | US
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Telephone | 256-216-9744
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Fax | 256-216-9754
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Provider Business Mailing Address
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Address Line | 700 DOROTHY FORD LN SW APT 108
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City | HUNTSVILLE
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State | AL
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Zip | 35801-7503
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.43999
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License Number State | AL
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