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General NPI Number Information
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NPI Number | 1003732553
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Entity Type | Organization
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Legal Business Name | KEVIN DUQUE, DDS PLLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 720 TORNADO DR
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City | STORM LAKE
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State | IA
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Zip | 50588-2048
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Country | US
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Telephone | 712-730-3015
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 W 4TH ST
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City | STORM LAKE
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State | IA
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Zip | 50588-1631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN DUQUE
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Credential | DDS
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Telephone | 712-730-1885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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