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General NPI Number Information
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NPI Number | 1033204425
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Entity Type | Organization
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Legal Business Name | GREGORY P DUFF, MD INC PS
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2600 WHEATON WAY SUITE 311
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City | BREMERTON
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State | WA
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Zip | 98310-3319
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Country | US
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Telephone | 360-479-2003
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Fax | 360-479-7416
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Provider Business Mailing Address
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Address Line | 2500 CHERRY AVENUE SUITE 304
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City | BREMERTON
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State | WA
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Zip | 98310-4202
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Country | US
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Telephone | 360-479-2544
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Fax | 360-479-7416
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. VICKI B SPLINTER
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Credential |
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Telephone | 360-479-2544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00034439
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License Number State | WA
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