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General NPI Number Information
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NPI Number | 1558089870
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Entity Type | Organization
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Legal Business Name | MARC C. DUNN DDS, MS INC.
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 10012 FOOTHILLS BLVD
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City | ROSEVILLE
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State | CA
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Zip | 95747-7102
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Country | US
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Telephone | 916-788-0202
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Fax | 916-782-0833
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Provider Business Mailing Address
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Address Line | 10012 FOOTHILLS BLVD
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City | ROSEVILLE
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State | CA
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Zip | 95747-7102
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Country | US
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Telephone | 916-788-0202
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Fax | 916-782-0833
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Authorized Official
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Title or Position | MANAGER OF CREDENTIALING
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Name | VICENTA REYES
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Credential |
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Telephone | 972-869-3789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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