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General NPI Number Information
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NPI Number | 1619290830
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Entity Type | Organization
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Legal Business Name | TERENCE F. DUFFY, M.D. & ASSOCIATES INC
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 5 S MAIN ST SUITE 1
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City | SUGARLOAF
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State | PA
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Zip | 18249-3141
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Country | US
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Telephone | 570-788-7246
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Fax | 570-788-0505
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Provider Business Mailing Address
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Address Line | 5 S MAIN ST SUITE 1
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City | SUGARLOAF
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State | PA
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Zip | 18249-3141
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Country | US
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Telephone | 570-788-7246
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Fax | 570-788-0505
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERENCE F DUFFY
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Credential | M.D.
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Telephone | 570-788-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD040009L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD040009L
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License Number State | PA
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