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General NPI Number Information
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NPI Number | 1790859320
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Entity Type | Organization
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Legal Business Name | MICHAEL L DUPUIS MD PA
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 3107 N H ST
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City | PENSACOLA
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State | FL
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Zip | 32501-1111
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Country | US
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Telephone | 850-982-8025
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6640
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City | PENSACOLA
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State | FL
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Zip | 32503-0640
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Country | US
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Telephone | 850-982-8025
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL L DUPUIS
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Credential | MD
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Telephone | 850-982-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME26893
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | ME26893
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME26893
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License Number State | FL
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