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General NPI Number Information
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NPI Number | 1114024312
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Entity Type | Organization
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Legal Business Name | BERNARD J DURANTE MD PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 30 ALDRIN RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-4804
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Country | US
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Telephone | 508-746-8977
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Fax | 508-746-3364
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Provider Business Mailing Address
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Address Line | 30 ALDRIN RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-4804
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Country | US
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Telephone | 508-746-8977
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Fax | 508-746-3364
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BERANRD JOSEPH DURANTE
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Credential | MD
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Telephone | 508-746-8977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number | 58069
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License Number State | MA
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