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General NPI Number Information
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NPI Number | 1538257746
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Entity Type | Individual
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Provider Name | DUWAYNE A CARLSON MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 2373 G RD STE 100
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1003
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Country | US
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Telephone | 970-245-0484
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Fax | 970-241-1681
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Provider Business Mailing Address
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Address Line | 3219 CENTRAL AVE STE 102A
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City | KEARNEY
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State | NE
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Zip | 68847-2949
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Country | US
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Telephone | 308-865-2600
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 19774
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 13518634-1235
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | DR.0057590
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License Number State | CO
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