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General NPI Number Information
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NPI Number | 1639116031
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Entity Type | Organization
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Legal Business Name | GLORIA E DUNKIN MD PA
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 2201 45TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2047
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Country | US
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Telephone | 561-842-6141
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Fax | 561-881-4364
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Provider Business Mailing Address
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Address Line | 6231 P G A BLVD SUITE 104 - #277
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4033
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Country | US
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Telephone | 561-352-3591
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Fax | 561-624-1325
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Authorized Official
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Title or Position | DOCTOR PSYCHIATRIST
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Name | GLORIA E DUNKIN
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Credential | MD PA
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Telephone | 561-352-3591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME84390
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License Number State | FL
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