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General NPI Number Information
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NPI Number | 1558717363
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Entity Type | Individual
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Provider Name | MICHAEL P. DUNLEAVY MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2660 W SUGNET RD
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City | MIDLAND
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State | MI
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Zip | 48670-3883
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Country | US
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Telephone | 989-832-0900
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Fax | 989-488-5475
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Provider Business Mailing Address
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Address Line | 4000 WELLNESS DR
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City | MIDLAND
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State | MI
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Zip | 48670-2000
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Country | US
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Telephone | 448-321-9568
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Fax | 989-633-5241
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036.152119
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 4301514309
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License Number State | MI
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