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General NPI Number Information
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NPI Number | 1568950137
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Entity Type | Individual
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Provider Name | ANNE MARIE DUMAINE MD
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Gender | Female
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Dates
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Enumeration Date | 04/28/2018
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 110 CONN TER
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City | LEXINGTON
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State | KY
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Zip | 40508-3206
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Country | US
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Telephone | 859-266-2101
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Fax | 859-268-5636
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone |
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 59731
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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