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General NPI Number Information
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NPI Number | 1043097769
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Entity Type | Organization
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Legal Business Name | DUO MEDICAL GROUP OF FLORIDA LLC
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 7421 RIDGE RD STE 105
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City | PORT RICHEY
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State | FL
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Zip | 34668-6935
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Country | US
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Telephone | 855-386-2799
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530322
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City | ATLANTA
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State | GA
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Zip | 30353-0322
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Country | US
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Telephone | 855-386-2799
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Fax |
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Authorized Official
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Title or Position | RCM AND CREDENTIALING MANAGER
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Name | BRANDALYNNE FLEMMING
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Credential |
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Telephone | 814-470-3634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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