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General NPI Number Information
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NPI Number | 1568817450
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Entity Type | Individual
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Provider Name | COLIN PATRICK DUNN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 05/05/2024
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Provider Practice Location Address
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Address Line | 14911 NATIONAL AVE STE 1
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City | LOS GATOS
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State | CA
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Zip | 95032-2632
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Country | US
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Telephone | 669-240-0616
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Fax | 408-688-2505
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Provider Business Mailing Address
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Address Line | 1484 POLLARD RD # 3028
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City | LOS GATOS
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State | CA
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Zip | 95032-1031
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Country | US
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Telephone | 669-240-0616
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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 | MD477569
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License Number State | PA
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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 | A186661
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License Number State | CA
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