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General NPI Number Information
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NPI Number | 1427235639
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Entity Type | Organization
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Legal Business Name | LARRY W DUNKERLEY DPM PC
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 800 W LAMPASAS STE A
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City | ENNIS
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State | TX
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Zip | 75119-4536
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Country | US
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Telephone | 972-875-6320
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Fax | 972-875-6332
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Provider Business Mailing Address
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Address Line | 800 W LAMPASAS STE A
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City | ENNIS
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State | TX
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Zip | 75119-4536
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Country | US
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Telephone | 972-875-6320
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Fax | 972-875-6332
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. LARRY WAYNE DUNKERLY
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Credential | DPM PC
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Telephone | 972-875-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0419
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License Number State | TX
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