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General NPI Number Information
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NPI Number | 1528265360
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Entity Type | Individual
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Provider Name | WADE DUNLAP M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 7200 WYOMING SPRINGS DR STE 500
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City | ROUND ROCK
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State | TX
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Zip | 78681-4307
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Country | US
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Telephone | 512-244-0111
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Fax | 512-244-2479
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Provider Business Mailing Address
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Address Line | 3617 CADOGAN ST
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City | MCKINNEY
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State | TX
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Zip | 75071-6668
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Country | US
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Telephone | 469-617-6550
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 8632A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | NONE
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R0391
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License Number State | TX
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