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General NPI Number Information
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NPI Number | 1265451199
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Entity Type | Individual
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Provider Name | DAVID B DUNN MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 12400 OLIVE BLVD #203
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City | SAINT LOUIS
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State | MO
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Zip | 63141-5454
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Country | US
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Telephone | 317-878-2100
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Fax | 314-878-2107
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Provider Business Mailing Address
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Address Line | 1901 BUTTERFIELD RD SUITE 220
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-7915
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Country | US
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Telephone | 630-725-2768
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Fax | 630-725-2783
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036065804
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | ME102728
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License Number State | FL
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