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General NPI Number Information
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NPI Number | 1922184399
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Entity Type | Individual
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Provider Name | RUSSELL JAMES DUNLOP D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 146 W END AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-1816
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Country | US
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Telephone | 908-526-2883
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Fax | 908-526-2885
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Provider Business Mailing Address
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Address Line | 146 W END AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-1816
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Country | US
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Telephone | 908-526-2883
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Fax | 908-526-2885
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00150700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00025500
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License Number State | NJ
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