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General NPI Number Information
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NPI Number | 1730230699
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Entity Type | Organization
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Legal Business Name | DUNN CHIROPRACTIC OFFICES SC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 225 REGENCY CT STE 110
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City | BROOKFIELD
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State | WI
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Zip | 53045-6166
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Country | US
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Telephone | 262-641-4110
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Fax | 262-641-1858
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Provider Business Mailing Address
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Address Line | 225 REGENCY CT STE 110
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City | BROOKFIELD
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State | WI
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Zip | 53045-6166
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Country | US
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Telephone | 262-641-4110
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Fax | 262-641-1858
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN SEAN DUNN
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Credential | DC
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Telephone | 262-641-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1564012
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License Number State | WI
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