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NPI 1104497551

NPI 1104497551 : JOSHUA QUINN DUNN DPT : BOWLING GREEN, KY

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General NPI Number Information
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    NPI Number           |    1104497551
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA QUINN DUNN DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2021
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    Last Update Date     |    05/16/2024
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Provider Practice Location Address
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    Address Line         |    1249 US 31W BYP STE 200 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42101-2557
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    Country              |    US
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    Telephone            |    270-807-8275
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    Fax                  |    270-807-8274
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Provider Business Mailing Address
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    Address Line         |    PO BOX 11629 
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    City                 |    BOZEMAN
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    State                |    MT
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    Zip                  |    59719-1629
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    Country              |    US
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    Telephone            |    406-522-7488
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    Fax                  |    406-522-7487
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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       |    008370
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    License Number State |    KY
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