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General NPI Number Information
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NPI Number | 1952583213
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Entity Type | Organization
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Legal Business Name | DAVID C NUNLEY RADIOLOGY INC
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 1680 S CENTRAL BLVD SUITE 112
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City | JUPITER
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State | FL
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Zip | 33458-7395
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Country | US
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Telephone | 561-748-1116
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Fax | 561-748-2997
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Provider Business Mailing Address
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Address Line | 1680 S CENTRAL BLVD SUITE 112
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City | JUPITER
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State | FL
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Zip | 33458-7395
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Country | US
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Telephone | 561-748-1116
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Fax | 561-748-2997
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CHARLES NUNLEY
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Credential | M.D.
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Telephone | 561-748-1116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME90263
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License Number State | FL
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