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General NPI Number Information
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NPI Number | 1316733264
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Entity Type | Organization
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Legal Business Name | DUANE LOGISTICS LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 2923 CORINTHIAN AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32210-4401
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Country | US
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Telephone | 904-389-5558
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Fax | 904-388-7392
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Provider Business Mailing Address
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Address Line | 7707 MERRILL RD UNIT 8664
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City | JACKSONVILLE
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State | FL
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Zip | 32239-7728
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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 | OWNER
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Name | DR. KEVIN DUANE
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Credential | PHARMD
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Telephone | 904-389-7392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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