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General NPI Number Information
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NPI Number | 1699410993
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Entity Type | Organization
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Legal Business Name | DANIEL J DUFFY DMD, PLLC
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 2520 DELANEY AVE
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City | WILMINGTON
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State | NC
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Zip | 28403-6002
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Country | US
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Telephone | 910-762-1772
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 DELANEY AVE
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City | WILMINGTON
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State | NC
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Zip | 28403-6002
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Country | US
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Telephone | 910-762-1772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL J DUFFY JR.
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Credential | DMD
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Telephone | 910-762-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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