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General NPI Number Information
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NPI Number | 1669620597
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Entity Type | Organization
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Legal Business Name | GRACIA WYNNE DUNCAN, M.D., P.A.
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 7580 FANNIN ST SUITE 305
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City | HOUSTON
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State | TX
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Zip | 77054-1900
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Country | US
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Telephone | 713-795-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 7580 FANNIN ST SUITE 305
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City | HOUSTON
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State | TX
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Zip | 77054-1900
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Country | US
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Telephone | 713-795-5565
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Fax |
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Authorized Official
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Title or Position | COMPANY OWNER
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Name | DR. GRACIA WYNNE-DUNCAN
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Credential | M.D.
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Telephone | 713-795-5565
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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 | L0139
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License Number State | TX
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