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General NPI Number Information
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NPI Number | 1811443765
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Entity Type | Individual
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Provider Name | FRANCISCO ELIGIO DUARTE MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 340 NW COMMERCE DR
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City | LAKE CITY
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State | FL
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Zip | 32055-4709
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Country | US
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Telephone | 386-719-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 8609 WHITE SWAN DR
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City | TAMPA
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State | FL
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Zip | 33614-2273
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Country | US
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Telephone | 718-687-8389
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 21749
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 32670R
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 34138R
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 33374
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21749
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License Number State | PR
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