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General NPI Number Information
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NPI Number | 1043479124
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Entity Type | Individual
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Provider Name | FELIX R DULANTO MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 7625 OLD SPRINGVILLE RD
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City | TRUSSVILLE
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State | AL
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Zip | 35173-1739
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Country | US
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Telephone | 205-879-8294
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Fax | 205-879-8259
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Provider Business Mailing Address
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Address Line | PO BOX 530604
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City | BIRMINGHAM
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State | AL
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Zip | 35253-0604
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Country | US
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Telephone | 205-879-8294
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Fax | 205-879-8259
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 29733
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License Number State | AL
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