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General NPI Number Information
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NPI Number | 1740351550
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Entity Type | Organization
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Legal Business Name | YVONNE D DUFFE DO PA
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 510 PALMETTO ST
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168
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Country | US
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Telephone | 386-428-3243
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Fax | 386-428-9929
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Provider Business Mailing Address
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Address Line | 510 PALMETTO ST
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-7325
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Country | US
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Telephone | 386-428-3243
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Fax | 386-428-9929
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Authorized Official
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Title or Position | BUSSINESS OWNER/PHYSICIAN
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Name | YVONNE DESIREE DUFFE
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Credential | DO
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Telephone | 386-428-3243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS5113
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License Number State | FL
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