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General NPI Number Information
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NPI Number | 1528713641
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Entity Type | Individual
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Provider Name | KRISTINA JOANNE DURAN CRDH
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Gender | Female
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 1900 BROTHER GEENEN WAY
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City | SARASOTA
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State | FL
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Zip | 34236-7102
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Country | US
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Telephone | 941-529-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 3941 MOSSY LIMB CT
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City | PALMETTO
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State | FL
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Zip | 34221-1258
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Country | US
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Telephone | 727-710-0576
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH26830
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License Number State | FL
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