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Organization

STEPHANIE M. DUNBAR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE MILLER DUNBAR MSN, CRNA (PRESIDENT)
(410) 688-7792
Entity
Organization

Contact information

Practice address
1210 FOREST OAK CT, BEL AIR, MD 21015-6170
(410) 688-7792
(410) 836-8064
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
406168
MEDICARE
MD
01
BY10-0001
CAREFIRST
DC
01
BY10-0001
CAREFIRST
MD
01
DV9564
RAILROAD MEDICARE
GA
Enumeration date
03/10/2015
Last updated
12/16/2015
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