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General NPI Number Information
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NPI Number | 1336452606
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Entity Type | Organization
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Legal Business Name | DURAN SURGICAL SERVICES PSC
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 16 OESTE DE DIEGO ST. #102
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-832-0454
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Fax | 787-265-2144
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Provider Business Mailing Address
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Address Line | PO BOX 280
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City | MAYAGUEZ
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State | PR
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Zip | 00681
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Country | US
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Telephone | 787-832-0454
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Fax | 787-265-2144
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Authorized Official
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Title or Position | GERERAL SURGEON
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Name | DR. NORMANDO G DURAN GUZMAN
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Credential | MD
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Telephone | 787-832-0454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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