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General NPI Number Information
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NPI Number | 1558383083
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Entity Type | Individual
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Provider Name | CAROLYN ANN DUCA NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 550 HARRISON ST STE D
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City | SYRACUSE
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State | NY
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Zip | 13202-3188
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Country | US
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Telephone | 315-464-8224
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Fax | 315-464-2187
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Provider Business Mailing Address
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Address Line | 251 SALINA MEADOWS PKWY STE 100
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City | SYRACUSE
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State | NY
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Zip | 13212-4584
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Country | US
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Telephone | 315-464-2096
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Fax | 315-464-2010
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 302158
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License Number State | NY
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