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General NPI Number Information
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NPI Number | 1578626172
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Entity Type | Organization
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Legal Business Name | OLGA DUARTE MD INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 8000 5 MILE RD SUITE 103
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City | CINCINNATI
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State | OH
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Zip | 45230-2163
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Country | US
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Telephone | 513-231-1617
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Fax | 513-231-1642
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Provider Business Mailing Address
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Address Line | 8000 5 MILE RD SUITE 103
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City | CINCINNATI
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State | OH
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Zip | 45230-2163
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Country | US
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Telephone | 513-231-1617
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Fax | 513-231-1642
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLGA DUARTE
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Credential | MD
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Telephone | 513-231-1617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35055672
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License Number State | OH
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