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General NPI Number Information
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NPI Number | 1366563256
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Entity Type | Organization
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Legal Business Name | NICHOLAS DUNKAS MD AND ASSOCIATES
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 708 CHURCH ST SUITE 216
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City | EVANSTON
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State | IL
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Zip | 60201-3875
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Country | US
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Telephone | 847-864-4744
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Fax | 847-864-9523
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Provider Business Mailing Address
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Address Line | 708 CHURCH ST SUITE 216
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City | EVANSTON
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State | IL
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Zip | 60201-3875
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Country | US
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Telephone | 847-864-4744
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Fax | 847-864-9523
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS DUNKAS
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Credential | MD
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Telephone | 847-864-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State | IL
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