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General NPI Number Information
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NPI Number | 1528519824
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Entity Type | Individual
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Provider Name | DAVE ANTHONY DUNN
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Gender | Male
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 9920 NW 3RD ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6146
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Country | US
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Telephone | 954-806-7951
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Fax | 754-263-2758
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Provider Business Mailing Address
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Address Line | 9920 NW 3RD ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6146
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Country | US
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Telephone | 954-806-7951
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Fax | 754-263-2758
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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