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General NPI Number Information
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NPI Number | 1548468036
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Entity Type | Individual
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Provider Name | CLIFFORD VERNOR DUNN III M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 851 MARSHALL PHELPS RD
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City | WINDSOR
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State | CT
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Zip | 06095
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Country | US
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Telephone | 860-683-0756
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Fax | 860-683-1555
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Provider Business Mailing Address
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Address Line | 851 MARSHALL PHELPS RD
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City | WINDSOR
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State | CT
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Zip | 06095-2100
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Country | US
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Telephone | 860-683-0756
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Fax | 860-683-1555
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6626822-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 62665
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License Number State | CT
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