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General NPI Number Information
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NPI Number | 1356433981
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Entity Type | Individual
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Provider Name | MICHAEL BRENDAN DUNN PHARM.D., BCPS
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | VA SAN DIEGO HEALTHCARE SYSTEM PHARMACY # 119 3350 LA JOLLA VILLAGE DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92161-0001
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Country | US
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Telephone | 858-552-8585
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Fax | 858-552-7582
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Provider Business Mailing Address
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Address Line | 8823 SPECTRUM CENTER BLVD APT #2312
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City | SAN DIEGO
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State | CA
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Zip | 92123-1456
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Country | US
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Telephone | 858-395-6042
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 58480
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License Number State | CA
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