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General NPI Number Information
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NPI Number | 1215254990
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Entity Type | Organization
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Legal Business Name | PATRICE DUQUETTE M.D.P.C.
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 380 N OLD WOODWARD AVE SUITE 156
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City | BIRMINGHAM
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State | MI
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Zip | 48009-5347
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Country | US
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Telephone | 248-594-7690
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Fax | 248-594-7663
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Provider Business Mailing Address
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Address Line | 25328 HENLEY AVE
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1707
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Country | US
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Telephone | 248-594-7690
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Fax | 248-594-7663
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICE DUQUETTE
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Credential | M.D.
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Telephone | 248-594-7690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301054935
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License Number State | MI
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