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General NPI Number Information
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NPI Number | 1306114418
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Entity Type | Individual
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Provider Name | JAMES DUNBAR CPED
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Gender | Male
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Dates
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Enumeration Date | 12/03/2011
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Last Update Date | 12/03/2011
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Provider Practice Location Address
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Address Line | 10901 TOM WATSON PKWY
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City | PARKVILLE
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State | MO
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Zip | 64152-3991
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Country | US
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Telephone | 315-601-1455
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 DUNCAN CIR
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City | LIBERTY
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State | MO
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Zip | 64068-3559
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Country | US
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Telephone | 315-601-1455
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Fax |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | C50477
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License Number State | MO
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