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General NPI Number Information
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NPI Number | 1609042860
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Entity Type | Organization
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Legal Business Name | RESOLUTIONS
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 6639 SOUTHPOINT PKWY STE 103
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8042
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Country | US
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Telephone | 904-446-9700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 551580
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City | JACKSONVILLE
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State | FL
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Zip | 32255-1580
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Country | US
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Telephone | 904-446-9700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN WILEY DUNCAN
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Credential | MD
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Telephone | 904-446-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0083619
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License Number State | FL
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