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General NPI Number Information
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NPI Number | 1265060263
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Entity Type | Organization
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Legal Business Name | DAVID L. DUKE III, MD PLLC
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 1216 RAGUET ST
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4228
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Country | US
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Telephone | 936-560-5537
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20354
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City | BELFAST
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State | ME
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Zip | 04915-4098
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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 | MD
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Name | DAVID DUKE
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Credential |
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Telephone | 936-560-5537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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