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General NPI Number Information
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NPI Number | 1114975463
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Entity Type | Individual
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Provider Name | DAVID DUNLAP PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1700 E 38TH ST
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City | MARION
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State | IN
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Zip | 46953-4568
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Country | US
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Telephone | 765-674-3321
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Fax | 765-677-3163
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Provider Business Mailing Address
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Address Line | 415 MAPLE ST
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City | W LAFAYETTE
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State | IN
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Zip | 47906-3016
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Country | US
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Telephone |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 20040972A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20040972A
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License Number State | IN
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