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General NPI Number Information
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NPI Number | 1144312422
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Entity Type | Individual
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Provider Name | MICHELLE A DUPLAIN PA
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1111 LINCOLN WAY E
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City | MASSILLON
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State | OH
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Zip | 44646-6950
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Country | US
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Telephone | 330-809-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 ALPHA ST NW
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City | MASSILLON
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State | OH
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Zip | 44647-8655
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Country | US
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Telephone | 330-704-8909
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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 | 1053333
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License Number State | OH
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