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General NPI Number Information
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NPI Number | 1093904922
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Entity Type | Individual
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Provider Name | DAVID DUCHIN PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 144 FORE ST
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City | PORTLAND
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State | ME
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Zip | 04101-4843
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Country | US
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Telephone | 207-771-3500
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Fax | 207-771-3578
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Provider Business Mailing Address
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Address Line | 15578 E 7TH CIR
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City | AURORA
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State | CO
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Zip | 80011-7605
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2508
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License Number State | CO
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