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General NPI Number Information
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NPI Number | 1770885618
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Entity Type | Individual
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Provider Name | HECTOR MANUEL DURAN BSW
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Gender | Male
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 14342 W MARCUS DRIVE
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City | SURPRISE
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State | AZ
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Zip | 85374
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Country | US
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Telephone | 480-213-9922
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Fax |
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Provider Business Mailing Address
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Address Line | 3802 E BASELINE RD APT 1019
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City | PHOENIX
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State | AZ
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Zip | 85042-7238
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Country | US
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Telephone | 480-678-3508
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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