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General NPI Number Information
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NPI Number | 1487619839
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Entity Type | Individual
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Provider Name | ELDON STEVEN DUMMIT III MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 333 ADAMS STREET
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City | BEDFORD HILLS
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State | NY
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Zip | 10507-2001
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Country | US
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Telephone | 914-241-0758
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Fax | 914-242-5152
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Provider Business Mailing Address
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Address Line | 228 LINDA AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2050
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Country | US
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Telephone | 914-773-7423
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Fax | 914-773-7447
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 171317
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License Number State | NY
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