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General NPI Number Information
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NPI Number | 1639206865
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Entity Type | Individual
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Provider Name | DUSTIN MICHAEL DUNHAM D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 5424 RUFE SNOW DR #101
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-6684
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Country | US
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Telephone | 817-656-4330
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Fax | 817-498-4457
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Provider Business Mailing Address
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Address Line | 5424 RUFE SNOW DR #101
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-6684
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Country | US
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Telephone | 817-656-4330
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Fax | 817-498-4457
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10263
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License Number State | TX
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