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General NPI Number Information
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NPI Number | 1346747250
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Entity Type | Individual
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Provider Name | REBECCA MICHELLE DURON MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 2200 W 49TH ST STE 104
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City | SIOUX FALLS
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State | SD
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Zip | 57105-6550
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Country | US
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Telephone | 605-336-6385
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Fax | 605-336-6513
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Provider Business Mailing Address
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Address Line | 2200 W 49TH ST STE 104
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City | SIOUX FALLS
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State | SD
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Zip | 57105-6550
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Country | US
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Telephone | 605-336-6385
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Fax | 605-336-6513
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 15051
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License Number State | SD
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