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General NPI Number Information
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NPI Number | 1093529703
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Entity Type | Individual
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Provider Name | JESSICA DUNLAP DC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 13396 PRESTON RD
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City | DALLAS
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State | TX
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Zip | 75240-5208
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Country | US
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Telephone | 972-503-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 2051 WITTINGTON PL APT 3125
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City | DALLAS
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State | TX
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Zip | 75234-1943
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Country | US
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Telephone | 636-368-5849
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16330
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License Number State | TX
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