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General NPI Number Information
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NPI Number | 1588913172
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Entity Type | Individual
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Provider Name | NOELLE G DUNN D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 1712 I ST NW STE 620
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City | WASHINGTON
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State | DC
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Zip | 20006-3751
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Country | US
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Telephone | 202-333-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 4323 ARGONNE DR
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City | FAIRFAX
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State | VA
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Zip | 22032-1406
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Country | US
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Telephone | 603-707-0798
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN1001151
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License Number State | DC
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