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General NPI Number Information
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NPI Number | 1306162029
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Entity Type | Individual
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Provider Name | DUKENS ELIACIN MS
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Gender | Male
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 11/30/2024
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Provider Practice Location Address
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Address Line | 626 PERDIDO HEIGHTS DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33413-1095
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Country | US
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Telephone | 786-753-7593
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Fax |
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Provider Business Mailing Address
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Address Line | 626 PERDIDO HEIGHTS DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33413-1095
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Country | US
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Telephone | 786-633-2050
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3793
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1283
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License Number State | TN
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