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General NPI Number Information
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NPI Number | 1336166099
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Entity Type | Organization
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Legal Business Name | G ROGER DUNKELBERGER DO LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 7995 66TH ST
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2163
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Country | US
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Telephone | 727-577-1722
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Fax | 727-578-6335
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Provider Business Mailing Address
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Address Line | 7995 66TH ST N STE B
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2163
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Country | US
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Telephone | 727-577-1722
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Fax | 727-578-6335
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE ROGER DUNKELBERGER
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Credential | DO
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Telephone | 727-577-1722
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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 | OS8970
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License Number State | FL
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