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General NPI Number Information
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NPI Number | 1215094842
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Entity Type | Organization
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Legal Business Name | ANDREW S. DUKES M.D. P.C.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 310 PINE ST NW SUITE B
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City | HARTSELLE
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State | AL
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Zip | 35640-2316
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Country | US
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Telephone | 256-773-2952
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Fax | 256-751-0737
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Provider Business Mailing Address
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Address Line | 310 PINE ST NW SUITE B
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City | HARTSELLE
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State | AL
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Zip | 35640-2316
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Country | US
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Telephone | 256-773-2952
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Fax | 256-751-0737
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Authorized Official
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Title or Position | RN
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Name | MRS. SANDRA L DUKES
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Credential | RN
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Telephone | 256-773-2952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 15217
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License Number State | AL
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