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General NPI Number Information
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NPI Number | 1306820998
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Entity Type | Individual
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Provider Name | MICHAEL P DUNCOMBE MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 07/15/2007
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Provider Practice Location Address
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Address Line | 3504 STATE ST
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City | ERIE
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State | PA
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Zip | 16508-2834
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Country | US
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Telephone | 814-455-8096
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 PEACH ST SUITE LL1
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City | ERIE
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State | PA
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Zip | 16508-2768
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD020032E
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License Number State | PA
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