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General NPI Number Information
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NPI Number | 1881850527
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Entity Type | Individual
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Provider Name | MICHELLE MARIE DUMAS M.D
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Gender | Female
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | HC 5 BOX 9748 EL VERDE
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City | RIO GRANDE
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State | PR
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Zip | 00745-9322
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Country | US
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Telephone | 787-214-1248
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 9748 EL VERDE
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City | RIO GRANDE
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State | PR
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Zip | 00745-9322
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Country | US
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Telephone | 787-214-1248
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17076
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License Number State | PR
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