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General NPI Number Information
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NPI Number | 1316753999
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Entity Type | Individual
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Provider Name | HANNAH ANN DURKIN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 4420 LAKE BOONE TRL
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City | RALEIGH
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State | NC
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Zip | 27607-7505
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Country | US
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Telephone | 919-784-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 140 GRANITE MILL DR APT 303
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City | GRAHAM
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State | NC
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Zip | 27253-3270
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Country | US
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Telephone | 978-587-6547
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-15142
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License Number State | NC
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