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General NPI Number Information
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NPI Number | 1285933382
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Entity Type | Organization
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Legal Business Name | DR MICHAEL A DUNDR MD LLC
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 3065 NEW YORK ST
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City | MIAMI
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State | FL
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Zip | 33133-4325
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Country | US
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Telephone | 305-877-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 3065 NEW YORK ST
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City | MIAMI
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State | FL
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Zip | 33133-4325
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Country | US
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Telephone | 305-877-1401
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL ALBERT DUNDR
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Credential | M.D.
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Telephone | 305-877-1401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME107505
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License Number State | FL
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