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General NPI Number Information
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NPI Number | 1447315734
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Entity Type | Individual
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Provider Name | DOMINIQUE DARMAUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 807 CHILDRENS WAY NEMOURS CHILDREN'S CLINIC, RESEARCH 5NORTH
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8426
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Country | US
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Telephone | 904-390-3488
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Fax | 904-390-3425
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Provider Business Mailing Address
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Address Line | 807 CHILDREN'S WAY NEMOURS CHILDREN'S CLINIC, RSEARCH 5NORTH
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City | JACKSONVILLE
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State | FL
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Zip | 32207
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Country | US
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Telephone | 904-390-3488
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Fax | 904-390-3425
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | ME 59396
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License Number State | FL
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