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General NPI Number Information
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NPI Number | 1760722342
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Entity Type | Individual
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Provider Name | REBECCA DURAN NP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 309 RED SUN DR # 1D
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City | CHAPARRAL
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State | NM
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Zip | 88081-7966
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Country | US
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Telephone | 575-228-7787
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Fax |
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Provider Business Mailing Address
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Address Line | 309 RED SUN DR # 1D
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City | CHAPARRAL
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State | NM
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Zip | 88081-7966
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Country | US
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Telephone | 619-213-8375
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 21054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1033877
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 65033
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License Number State | NM
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