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General NPI Number Information
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NPI Number | 1184535346
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Entity Type | Organization
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Legal Business Name | DUO MEDICAL GROUP OF ARIZONA PLLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 2030 W BASELINE RD # 182-5671
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City | PHOENIX
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State | AZ
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Zip | 85041-6574
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Country | US
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Telephone | 855-386-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 980 N MICHIGAN AVE STE 1998
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City | CHICAGO
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State | IL
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Zip | 60611-7504
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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 | CREDENTIALING MANAGER
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Name | BRANDALYNNE FLEMMING
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Credential |
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Telephone | 814-470-3634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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