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General NPI Number Information
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NPI Number | 1063620615
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Entity Type | Individual
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Provider Name | MELISSA ANN DUNIGAN P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2490 INTERNATIONAL CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3150
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Country | US
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Telephone | 719-632-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 FARRAGUT AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6510
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Country | US
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Telephone | 719-385-0652
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3862
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License Number State | CO
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