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General NPI Number Information
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NPI Number | 1013977503
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Entity Type | Individual
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Provider Name | ROBERT B DUNNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 22101 MOROSS RD
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City | DETROIT
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State | MI
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Zip | 48236-2148
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Country | US
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Telephone | 313-343-7071
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Fax |
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Provider Business Mailing Address
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Address Line | 51800 9 MILE RD
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City | NORTHVILLE
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State | MI
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Zip | 48167-9773
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Country | US
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Telephone | 248-894-4997
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 4301060828
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License Number State | MI
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