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General NPI Number Information
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NPI Number | 1366632341
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Entity Type | Organization
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Legal Business Name | SUSSEX FAMILY PRACTICE, INC
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 32566 DOCS PL UNIT 3
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City | MILLVILLE
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State | DE
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Zip | 19967-6959
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Country | US
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Telephone | 302-539-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 32566 DOCS PL UNIT 3
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City | MILLVILLE
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State | DE
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Zip | 19967-6959
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Country | US
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Telephone | 302-539-8880
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | DR. THOMAS JEFFREY DUNN
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Credential |
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Telephone | 302-539-8880
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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 | C1-0005733
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License Number State | DE
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