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General NPI Number Information
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NPI Number | 1073713053
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Entity Type | Organization
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Legal Business Name | DUNN FOOT & ANKLE CENTER, P.A.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 303 TILGHMAN DR
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City | DUNN
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State | NC
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Zip | 28334-5524
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Country | US
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Telephone | 910-892-3338
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Fax | 910-892-2706
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Provider Business Mailing Address
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Address Line | 303 TILGHMAN DR
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City | DUNN
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State | NC
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Zip | 28334-5524
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Country | US
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Telephone | 910-892-3338
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Fax | 910-892-2706
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. ELIZABETH G. BASS
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Credential | D.P.M.
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Telephone | 910-892-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 223
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License Number State | NC
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