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General NPI Number Information
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NPI Number | 1578118444
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Entity Type | Individual
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Provider Name | JACQUELYN DUNBAR PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 13020 FORT KING RD STE 103&104
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City | DADE CITY
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State | FL
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Zip | 33525-5222
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Country | US
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Telephone | 352-521-1193
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Fax | 352-518-1084
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Provider Business Mailing Address
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Address Line | 13020 FORT KING RD STE 103&104
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City | DADE CITY
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State | FL
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Zip | 33525-5222
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Country | US
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Telephone | 352-521-1193
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Fax | 352-518-1084
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT014150
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT35888
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License Number State | FL
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