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General NPI Number Information
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NPI Number | 1699168864
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Entity Type | Individual
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Provider Name | EMILY DUFFY D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1700 SE HILLMOOR DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-7539
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Country | US
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Telephone | 772-398-7936
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Fax | 772-398-7970
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Provider Business Mailing Address
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Address Line | 1700 SE HILLMOOR DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-7539
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Country | US
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Telephone | 772-398-7936
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Fax | 772-398-7970
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 292302
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS17088
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License Number State | FL
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