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General NPI Number Information
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NPI Number | 1487842795
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Entity Type | Organization
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Legal Business Name | ADOLFO C DULAY MD PA
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 228 NE HANCOCK AVENUE
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City | MADISON
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State | FL
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Zip | 32340-2560
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Country | US
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Telephone | 850-973-4853
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Fax | 850-973-8860
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Provider Business Mailing Address
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Address Line | PO BOX 934
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City | MADISON
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State | FL
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Zip | 32341
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Country | US
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Telephone | 850-973-4853
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Fax | 850-973-8860
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ADOLFO C DULAY
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Credential | MD
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Telephone | 850-973-4853
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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 | MEOO27368
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0027368
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License Number State | FL
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