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General NPI Number Information
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NPI Number | 1093052136
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Entity Type | Individual
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Provider Name | ROBERT DURA JR.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 4826 DEVON CIR
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City | NAPLES
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State | FL
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Zip | 34112-3702
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Country | US
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Telephone | 610-217-9866
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 362
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City | ESTERO
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State | FL
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Zip | 33929-0362
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS45920
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP039829L
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License Number State | PA
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