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General NPI Number Information
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NPI Number | 1720413222
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Entity Type | Individual
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Provider Name | JAIME DUNN PA
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Gender | Female
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 1401 EDWARDS LAKE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2724
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Country | US
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Telephone | 205-853-3963
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Fax | 205-853-3966
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Provider Business Mailing Address
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Address Line | 1401 EDWARDS LAKE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2724
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Country | US
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Telephone | 205-853-3963
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Fax | 205-853-3966
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.908
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License Number State | AL
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