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General NPI Number Information
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NPI Number | 1649984006
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Entity Type | Organization
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Legal Business Name | DUNNE WOUND CARE
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 7386 CRUSH CT
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City | NEW KENT
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State | VA
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Zip | 23124-2869
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Country | US
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Telephone | 918-810-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 7386 CRUSH CT
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City | NEW KENT
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State | VA
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Zip | 23124-2869
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Country | US
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Telephone | 918-810-7200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT PETER DUNNE JR.
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Credential | PA-C
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Telephone | 918-810-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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