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NPI Code Detail

MEDICARE: MRS. TELIA ANN DUNN

MEDICARE: MRS. TELIA ANN DUNN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerM-533AR

General Provider Information

NPI Number : 1609835701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TELIA ANN DUNN
Provider Business Mailing Address
First Line : 2904 ARKANSAS BLVD
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-2536
Country : US
Telephone Number : 870-773-4655
Fax Number : 870-772-4650
Provider Business Practice Location Address
First Line : 508 N 2ND ST
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3925
Country : US
Telephone Number : 870-845-3110
Fax Number : 870-845-5617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. TELIA ANN DUNN ” Practice Location

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