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General NPI Number Information
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NPI Number | 1073010187
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Entity Type | Individual
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Provider Name | JOHN R DUNN BS JD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | LOWELL HOUSE INC 555 MERRIMACK STREET
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City | LOWELL
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State | MA
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Zip | 01854
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Country | US
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Telephone | 978-459-8656
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Fax | 978-937-2559
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Provider Business Mailing Address
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Address Line | 1799 BODWELL RD UNIT 19
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City | MANCHESTER
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State | NH
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Zip | 03109-5855
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Country | US
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Telephone | 603-568-7317
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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