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NPI 1457337107

NPI 1457337107 : DOUGLAS DAVID DUNCAN MD : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1457337107
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    Entity Type          |    Individual 
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    Provider Name        |    DOUGLAS DAVID DUNCAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/15/2005
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    Last Update Date     |    01/22/2025
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Provider Practice Location Address
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    Address Line         |    637 KINGSBOROUGH SQ STE D 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4944
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    Country              |    US
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    Telephone            |    757-746-5342
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    Fax                  |    833-954-0875
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4222 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23454-0222
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    Country              |    US
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    Telephone            |    757-746-5342
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    0101245575
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    4301091324
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    0101245575
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    License Number State |    VA
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