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General NPI Number Information
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NPI Number | 1386751048
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Entity Type | Organization
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Legal Business Name | ROBERT N. DUMIN, M.D.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/26/2013
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Provider Practice Location Address
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Address Line | 1504 TURKEY RUN RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3918
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Country | US
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Telephone | 302-593-2728
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Fax | 302-689-4644
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Provider Business Mailing Address
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Address Line | 1504 TURKEY RUN RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3918
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Country | US
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Telephone | 302-593-2728
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Fax | 302-689-4644
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT NEIL DUMIN
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Credential | M.D.
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Telephone | 302-593-2728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | C10000743
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C10000743
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License Number State | DE
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