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General NPI Number Information
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NPI Number | 1710712013
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Entity Type | Individual
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Provider Name | JOHN CHARLES DUNSTAN
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Gender | Male
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2329 4TH AVE
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City | SEATTLE
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State | WA
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Zip | 98121-1717
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Country | US
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Telephone | 206-901-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 SOUTHCENTER BLVD
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City | TUKWILA
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State | WA
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Zip | 98188-2547
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Country | US
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Telephone | 206-901-2000
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Fax | 206-901-2010
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWIA.SC.70011605
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License Number State | WA
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