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General NPI Number Information
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NPI Number | 1629516372
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Entity Type | Organization
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Legal Business Name | DUKE UNIVERSITY
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 10207 CERNY ST
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City | RALEIGH
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State | NC
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Zip | 27617-4879
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Country | US
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Telephone | 919-576-8305
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Fax | 919-576-8805
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Provider Business Mailing Address
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Address Line | 10207 CERNY ST
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City | RALEIGH
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State | NC
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Zip | 27617-4879
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Country | US
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Telephone | 919-576-8305
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Fax | 919-576-8805
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Authorized Official
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Title or Position | FCC
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Name | DANIELLE COTTON
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Credential |
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Telephone | 919-576-8315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 561029437
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License Number State | NC
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