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Individual
MR. MATTHEW LEE DUNN
Active
Individual
MR. MATTHEW LEE DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
677880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204499201
—
TX
01
—
P00729224
RAILROAD MEDICARE
TX
Enumeration date
05/30/2007
Last updated
08/08/2016
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