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General NPI Number Information
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NPI Number | 1659454643
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Entity Type | Individual
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Provider Name | MARTIN DUNNE DDS
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 717 WALNUT DR
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City | PASO ROBLES
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State | CA
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Zip | 93446-2315
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Country | US
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Telephone | 805-238-5334
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Fax | 805-238-6470
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Provider Business Mailing Address
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Address Line | 7000 TORO CREEK RD
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City | ATASCADERO
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State | CA
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Zip | 93422-1023
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Country | US
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Telephone | 805-466-7772
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Fax | 805-466-7772
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 39955
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License Number State | CA
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