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General NPI Number Information
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NPI Number | 1598291353
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Entity Type | Individual
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Provider Name | JULIO RENE DURAN JR. APRN
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 73 CEDAR ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1301
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Country | US
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Telephone | 860-224-5267
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Fax | 860-224-5752
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Provider Business Mailing Address
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Address Line | 77 HAZARD AVE UNIT M2
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City | ENFIELD
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State | CT
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Zip | 06082-3890
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Country | US
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Telephone | 860-966-1004
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Fax | 860-788-4090
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7027
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License Number State | CT
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