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General NPI Number Information
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NPI Number | 1952496465
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Entity Type | Individual
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Provider Name | WILLIAM JACKSON DUNN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 238 N LOOP 1604 W STE 201
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1455
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Country | US
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Telephone | 210-465-7075
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Fax | 210-855-6933
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Provider Business Mailing Address
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Address Line | 81 DS/SGD 606 FISHER STREET
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City | KEESLER AFB
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State | MS
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Zip | 39534
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Country | US
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Telephone | 228-377-3003
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Fax | 228-377-7092
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15142
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License Number State | TX
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