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General NPI Number Information
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NPI Number | 1629132253
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Entity Type | Organization
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Legal Business Name | KENNETH D DUNLAP JR DPM PC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 3731 CARLISLE RD
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City | DOVER
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State | PA
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Zip | 17315-4415
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Country | US
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Telephone | 717-292-1455
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Fax | 717-292-2593
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Provider Business Mailing Address
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Address Line | 3731 CARLISLE RD
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City | DOVER
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State | PA
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Zip | 17315-4415
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Country | US
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Telephone | 717-292-1455
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Fax | 717-292-2593
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH D DUNLAP JR.
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Credential | DPM
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Telephone | 717-292-1455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC003723L
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License Number State | PA
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