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General NPI Number Information
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NPI Number | 1629285051
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Entity Type | Individual
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Provider Name | JAMES E DUDO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 512 SKYLINE BLVD STE 1
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City | CLOQUET
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State | MN
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Zip | 55720-1199
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Country | US
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Telephone | 218-879-4641
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Fax |
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Provider Business Mailing Address
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Address Line | 12808 230TH AVE
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City | BIG RAPIDS
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State | MI
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Zip | 49307-8722
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 7631A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C1651
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60212389
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301090999
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD44875
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301090999
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 62669
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License Number State | MN
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 65
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License Number State | WI
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