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General NPI Number Information
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NPI Number | 1710131370
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Entity Type | Organization
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Legal Business Name | DUNECREST MEDICAL GROUP
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 232 RESERVATION RD
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City | MARINA
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State | CA
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Zip | 93933-3083
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Country | US
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Telephone | 831-384-0662
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Fax | 831-384-0754
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Provider Business Mailing Address
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Address Line | 232 RESERVATION RD
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City | MARINA
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State | CA
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Zip | 93933-3083
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Country | US
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Telephone | 831-384-0662
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Fax | 831-384-0754
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DR. DEBORAH BROWN
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Credential | MD
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Telephone | 831-384-0662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A60458
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License Number State | CA
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