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General NPI Number Information
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NPI Number | 1760438444
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Entity Type | Individual
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Provider Name | DONNIE P DUNAGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 12/19/2010
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Provider Practice Location Address
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Address Line | 2042 CENTRAL AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-4128
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Country | US
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Telephone | 706-733-1104
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Fax | 706-736-8465
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Provider Business Mailing Address
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Address Line | 2042 CENTRAL AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-4128
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Country | US
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Telephone | 706-733-1104
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Fax | 706-736-8465
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 49886
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License Number State | GA
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