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General NPI Number Information
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NPI Number | 1144341462
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Entity Type | Organization
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Legal Business Name | DAVID J. DUNCH, M. D., INC.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 250 DEBARTOLO PL SUITE 1640
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-7004
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Country | US
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Telephone | 330-726-2602
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Fax | 330-726-2653
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Provider Business Mailing Address
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Address Line | 250 DEBARTOLO PL SUITE 1640
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-7004
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Country | US
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Telephone | 330-757-8425
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Fax | 330-726-2602
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. DAVID J DUNCH
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Credential | M. D.
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Telephone | 330-757-8425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 35 051938
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License Number State | OH
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