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General NPI Number Information
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NPI Number | 1760719363
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Entity Type | Organization
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Legal Business Name | DUNN PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 16 ONYX DR
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City | STONY BROOK
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State | NY
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Zip | 11790-3014
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Country | US
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Telephone | 631-335-0826
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Fax | 631-406-0188
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Provider Business Mailing Address
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Address Line | 16 ONYX DR
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City | STONY BROOK
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State | NY
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Zip | 11790-3014
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Country | US
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Telephone | 631-335-0826
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Fax | 631-406-0188
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. GREGORY E. DUNN
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Credential | PT, OCS
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Telephone | 631-335-0826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 020148
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License Number State | NY
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