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General NPI Number Information
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NPI Number | 1043486806
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF WEST FLORIDA NETWORK, INC.
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 10/25/2013
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Provider Practice Location Address
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Address Line | 7575 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34667-6716
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Country | US
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Telephone | 727-861-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34667-6716
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Country | US
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Telephone | 727-861-9800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT L DUNCAN
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Credential | M.D.
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Telephone | 727-861-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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