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General NPI Number Information
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NPI Number | 1235330804
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Entity Type | Individual
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Provider Name | MATTHEW LEE DUNN NP
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 3080 COLLEGE ST 3 SABINE/PROGRESSIVE CARE UNIT
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City | BEAUMONT
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State | TX
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Zip | 77701-4606
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Country | US
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Telephone | 409-212-7303
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Fax | 409-212-7301
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Provider Business Mailing Address
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Address Line | 3080 COLLEGE STREET 3 SABINE/PROGRESSIVE CARE UNIT
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City | BEAUMONT
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State | TX
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Zip | 77704
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Country | US
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Telephone | 409-212-7303
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Fax | 409-212-7301
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 677880
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License Number State | TX
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