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General NPI Number Information
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NPI Number | 1982860128
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Entity Type | Organization
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Legal Business Name | LORI DUNN, D.O.
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 4310 LONDONDERRY RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5300
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Country | US
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Telephone | 717-652-7297
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Fax | 717-657-7558
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Provider Business Mailing Address
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Address Line | PO BOX 6507
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City | HARRISBURG
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State | PA
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Zip | 17112-0507
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Country | US
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Telephone | 717-652-7297
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Fax | 717-657-7558
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SANDRA A WAGNER
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Credential |
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Telephone | 717-652-9015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS00551L
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License Number State | PA
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