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General NPI Number Information
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NPI Number | 1912246265
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Entity Type | Individual
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Provider Name | JOSEPH R DUNN PHD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 510 BLUFF CREEK RD
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City | WIGGINS
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State | MS
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Zip | 39577-9728
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Country | US
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Telephone | 601-466-6644
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Fax | 601-928-9386
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Provider Business Mailing Address
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Address Line | PO BOX 660257
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City | BIRMINGHAM
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State | AL
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Zip | 35266-0257
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Country | US
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Telephone | 205-979-5882
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Fax | 205-979-1248
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 16 178
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License Number State | MS
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