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General NPI Number Information
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NPI Number | 1730785999
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Entity Type | Individual
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Provider Name | JAMES MICHAEL DUNN
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Gender | Male
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 407 NE GEORGIA AVE
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City | SWEETWATER
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State | TX
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Zip | 79556-8238
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Country | US
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Telephone | 325-236-9588
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Fax | 325-236-9591
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Provider Business Mailing Address
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Address Line | 1708 WOODRUFF LN
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City | SWEETWATER
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State | TX
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Zip | 79556-1828
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Country | US
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Telephone | 806-683-9397
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 51076
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License Number State | TX
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