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General NPI Number Information
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NPI Number | 1144393810
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Entity Type | Organization
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Legal Business Name | ROBERT B DUNDAS MD PA
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 810 HOSPITAL DR STE 301
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City | BEAUMONT
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State | TX
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Zip | 77701-4635
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Country | US
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Telephone | 409-835-9300
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Fax | 409-835-9303
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Provider Business Mailing Address
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Address Line | 810 HOSPITAL DR STE 301
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City | BEAUMONT
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State | TX
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Zip | 77701-4635
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Country | US
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Telephone | 409-835-9300
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Fax | 409-835-9303
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT B DUNDAS
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Credential | MD
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Telephone | 40983593000
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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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