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General NPI Number Information
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NPI Number | 1699573626
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Entity Type | Individual
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Provider Name | JANE DUPRA DURAN
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 4243 W HILLSBORO BLVD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3213
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Country | US
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Telephone | 954-638-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 12124 NW 46TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2230
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Country | US
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Telephone | 305-336-9748
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11038056
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License Number State | FL
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