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General NPI Number Information
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NPI Number | 1205071081
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Entity Type | Organization
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Legal Business Name | JAMES BRYAN DUNLAP D.D.S.P.A.
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 1515 ALDERSGATE RD
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6611
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Country | US
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Telephone | 501-975-1539
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Fax | 501-224-9900
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Provider Business Mailing Address
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Address Line | 1515 ALDERSGATE RD
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6611
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Country | US
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Telephone | 501-975-1539
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Fax | 501-224-9900
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JAMES BRYAN DUNLAP
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Credential | D.D.S.P.A.
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Telephone | 501-975-1539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3265
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License Number State | AR
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