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General NPI Number Information
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NPI Number | 1043605066
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Entity Type | Individual
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Provider Name | MARCO DURAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 7140 E ROSEWOOD ST STE 110
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City | TUCSON
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State | AZ
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Zip | 85710-1346
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Country | US
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Telephone | 520-318-6035
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Fax | 520-829-6661
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Provider Business Mailing Address
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Address Line | 4881 E GRANT RD STE 101
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City | TUCSON
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State | AZ
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Zip | 85712-2704
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Country | US
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Telephone | 520-318-6035
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Fax | 520-829-6661
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 60364
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 60364
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License Number State | AZ
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