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General NPI Number Information
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NPI Number | 1356330963
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Entity Type | Organization
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Legal Business Name | NATURES PARTNERS
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 8506 WESLEY ST
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City | GREENVILLE
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State | TX
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Zip | 75402-3812
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Country | US
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Telephone | 903-454-1824
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Fax | 903-454-6044
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Provider Business Mailing Address
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Address Line | 8506 WESLEY ST
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City | GREENVILLE
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State | TX
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Zip | 75402-3812
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Country | US
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Telephone | 903-454-1824
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Fax | 903-454-6044
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL PATRICK DUNNIGAN
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Credential | DO
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Telephone | 903-454-1824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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