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General NPI Number Information
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NPI Number | 1114920493
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Entity Type | Individual
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Provider Name | ROBERT B DUNDAS MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 4450 HIGHLAND AVE
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City | BEAUMONT
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State | TX
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Zip | 77705-5205
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Country | US
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Telephone | 409-832-1924
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Fax | 713-523-4897
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Provider Business Mailing Address
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Address Line | PO BOX 66308
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City | HOUSTON
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State | TX
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Zip | 77266-6308
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Country | US
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Telephone | 832-548-5076
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Fax | 713-523-4897
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J9003
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License Number State | TX
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