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General NPI Number Information
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NPI Number | 1023169265
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Entity Type | Individual
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Provider Name | CURTIS ROY DUNN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 783 RADIO DR SUITE 107
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City | WOODBURY
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State | MN
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Zip | 55125-9454
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Country | US
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Telephone | 651-738-3866
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Fax | 651-738-1846
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Provider Business Mailing Address
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Address Line | 783 RADIO DR SUITE 107
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City | WOODBURY
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State | MN
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Zip | 55125-9454
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Country | US
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Telephone | 651-738-3866
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Fax | 651-738-1846
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 10426
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5841-015
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DT-2139
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License Number State | HI
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