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General NPI Number Information
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NPI Number | 1982601357
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Entity Type | Individual
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Provider Name | THOMAS STEPHEN DUNHAM O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1820 S 42ND ST
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City | GRAND FORKS
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State | ND
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Zip | 58201-5712
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Country | US
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Telephone | 701-775-3151
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Fax | 701-775-3153
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | MCVILLE
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State | ND
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Zip | 58254-0365
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Country | US
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Telephone | 701-322-5111
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Fax | 701-322-5111
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 421
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License Number State | ND
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