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General NPI Number Information
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NPI Number | 1740365048
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Entity Type | Organization
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Legal Business Name | DRAKE D DUANE MD PC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 8585 E BELL RD SUITE 101-A
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1303
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Country | US
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Telephone | 480-860-1222
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Fax | 480-860-0029
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Provider Business Mailing Address
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Address Line | 8585 E BELL RD SUITE 101-A
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1303
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Country | US
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Telephone | 480-860-1222
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Fax | 480-860-0029
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Authorized Official
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Title or Position | DIRECTOR
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Name | DRAKE D DUANE
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Credential | MD PC
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Telephone | 480-860-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 16903
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License Number State | AZ
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