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General NPI Number Information
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NPI Number | 1760495949
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Entity Type | Individual
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Provider Name | MARTIN DUNSKY D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 405 W GRAND AVE
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City | DAYTON
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State | OH
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Zip | 45405-4720
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Country | US
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Telephone | 800-514-1494
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 YANKEE STREET
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City | DAYTON
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-439-1764
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34004156
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License Number State | OH
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