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General NPI Number Information
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NPI Number | 1821535964
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Entity Type | Individual
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Provider Name | HAILI DUNBAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 1690 CROWN COLONY DR
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City | QUINCY
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State | MA
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Zip | 02169-0913
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Country | US
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Telephone | 914-907-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 77 ADAMS ST UNIT 502
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City | QUINCY
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State | MA
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Zip | 02169-2027
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Country | US
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Telephone | 914-907-4379
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA6074
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License Number State | MA
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