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General NPI Number Information
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NPI Number | 1396498879
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Entity Type | Organization
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Legal Business Name | DUNCAN MEDICAL GROUP
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 300 E SONTERRA BLVD STE 340
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3972
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Country | US
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Telephone | 210-990-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E SONTERRA BLVD STE 340
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3972
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Country | US
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Telephone | 210-990-7246
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELLEN BOYLE DUNCAN
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Credential | M.D.
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Telephone | 210-990-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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