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General NPI Number Information
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NPI Number | 1699354159
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Entity Type | Individual
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Provider Name | JOHANNA ELIZABETH DUARTE PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 24646 SW 108TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33032-4671
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Country | US
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Telephone | 786-237-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 24646 SW 108TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33032-4671
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Country | US
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Telephone | 786-237-8117
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9114078
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License Number State | FL
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