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General NPI Number Information
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NPI Number | 1093700478
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Entity Type | Individual
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Provider Name | BRYAN M DUNN MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 1201 S MAIN ST SUITE 118
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City | BOERNE
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State | TX
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Zip | 78006-2833
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Country | US
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Telephone | 830-815-1081
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Fax | 830-815-1082
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Provider Business Mailing Address
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Address Line | 1201 S MAIN ST SUITE 118
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City | BOERNE
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State | TX
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Zip | 78006-2833
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Country | US
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Telephone | 830-815-1081
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Fax | 830-815-1082
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | J9004
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License Number State | TX
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