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General NPI Number Information
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NPI Number | 1033128285
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Entity Type | Organization
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Legal Business Name | THOMAS DUFFIELD, MD, PC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 1200 BUSTLETON PIKE SUITE 9
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City | FEASTERVILLE
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State | PA
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Zip | 19053
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Country | US
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Telephone | 267-225-2975
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Fax | 866-973-9701
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Provider Business Mailing Address
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Address Line | 1200 BUSTLETON PIKE SUITE 9
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City | FEASTERVILLE
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State | PA
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Zip | 19053
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Country | US
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Telephone | 267-225-2975
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Fax | 866-973-9701
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. THOMAS EDWARD DUFFIELD
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Credential | M.D.
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Telephone | 267-225-2975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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