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General NPI Number Information
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NPI Number | 1619340551
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Entity Type | Individual
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Provider Name | VICTOR DUARTE FNP-C, WCC
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Gender | Male
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Dates
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Enumeration Date | 10/31/2015
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 1914 FALCON RIDGE DR
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City | FORT COLLINS
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State | CO
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Zip | 80528-5100
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Country | US
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Telephone | 970-217-4896
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Fax |
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Provider Business Mailing Address
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Address Line | 1914 FALCON RIDGE DR
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City | FORT COLLINS
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State | CO
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Zip | 80528-5100
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Country | US
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Telephone | 970-217-4896
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Fax |
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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 | APN.0991521-NP
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License Number State | CO
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