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General NPI Number Information
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NPI Number | 1386612729
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Entity Type | Individual
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Provider Name | GEORGE R DUQUETTE M.D., F.A.C.S
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 2022 BROOKWOOD MEDICAL CTR DR
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6808
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Country | US
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Telephone | 205-877-2918
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Fax | 205-877-2181
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Provider Business Mailing Address
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Address Line | 1990 SHADES CREST RD
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City | BIRMINGHAM
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State | AL
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Zip | 35216-1414
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Country | US
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Telephone | 205-822-7009
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 10194
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License Number State | AL
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