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Individual
DAVID A DICKINSON
Active
Individual
DAVID A DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005359
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016005359
STATE LICENSE
IL
Enumeration date
03/12/2007
Last updated
01/27/2021
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