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General NPI Number Information
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NPI Number | 1780616821
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Entity Type | Individual
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Provider Name | EUGENE DRESCHER DULANEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 424 S 56TH ST STE 110
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City | PHOENIX
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State | AZ
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Zip | 85034-2177
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Country | US
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Telephone | 602-685-5166
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Fax | 602-685-5325
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Provider Business Mailing Address
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Address Line | PO BOX 42210
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City | PHOENIX
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State | AZ
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Zip | 85080-2210
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Country | US
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Telephone | 623-266-7770
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Fax | 623-322-4639
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 55602
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 55602
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 66352
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License Number State | AZ
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