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General NPI Number Information
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NPI Number | 1942405451
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Entity Type | Individual
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Provider Name | MAURA DUNFEY D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 300 E LANCASTER AVE STE 211
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2142
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Country | US
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Telephone | 267-259-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 9 STRATHMORE CT
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City | WALLINGFORD
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State | PA
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Zip | 19086-6536
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Country | US
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Telephone | 267-259-6400
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OT012177
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS014877
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License Number State | PA
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