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General NPI Number Information
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NPI Number | 1932350956
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Entity Type | Individual
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Provider Name | EDWARD J DUNNE PTA
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Gender | Male
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 6551 PARK OF COMMERCE BLVD
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City | BOCA RATON
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State | FL
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Zip | 33487-8218
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Country | US
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Telephone | 781-322-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 505 HEARD AVE APT 2
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City | MAYBROOK
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State | NY
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Zip | 12543-1359
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Country | US
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Telephone | 407-923-0279
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA18758
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 66 006069
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306602111
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License Number State | VA
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