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General NPI Number Information
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NPI Number | 1740632009
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Entity Type | Individual
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Provider Name | RONALD R DUKE PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 200 BRULE ST BLDG 871
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City | FORT KNOX
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State | KY
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Zip | 40121-6100
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Country | US
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Telephone | 480-749-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 1061 HARMON AVE
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City | FORT STEWART
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State | GA
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Zip | 31314-5641
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Country | US
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Telephone | 480-707-9296
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 11011
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.009385RX
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0012247
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 131332
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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