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General NPI Number Information
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NPI Number | 1366656811
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Entity Type | Individual
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Provider Name | JULIE KATE DUKES PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 96 JONATHAN LUCAS ST SUITE 426
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City | CHARLESTON
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State | SC
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Zip | 29425-8900
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Country | US
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Telephone | 843-792-4664
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Fax | 843-792-3080
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Provider Business Mailing Address
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Address Line | 96 JONATHAN LUCAS ST SUITE 426
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City | CHARLESTON
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State | SC
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Zip | 29425-8900
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Country | US
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Telephone | 843-792-4664
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Fax | 843-792-3080
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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 | 1156
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License Number State | SC
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