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General NPI Number Information
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NPI Number | 1427286475
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Entity Type | Organization
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Legal Business Name | ROBERT C. DUNCAN, DO, INC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 6651 MADISON AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-0602
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Country | US
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Telephone | 916-965-1111
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Fax | 916-676-1447
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Provider Business Mailing Address
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Address Line | 2277 FAIR OAKS BLVD STE 110
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City | SACRAMENTO
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State | CA
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Zip | 95825-5533
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Country | US
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Telephone | 916-965-1111
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Fax | 916-676-1447
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Authorized Official
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Title or Position | INCORPORATOR
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Name | ROBERT C DUNCAN
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Credential | DO
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Telephone | 916-965-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A10205
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License Number State | CA
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