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General NPI Number Information
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NPI Number | 1841505039
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Entity Type | Organization
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Legal Business Name | JAIMELA J DULANEY MD PA
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 2495 CARING WAY STE C
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952
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Country | US
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Telephone | 941-235-9229
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Fax | 941-235-9232
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Provider Business Mailing Address
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Address Line | 2495 CARING WAY STE C
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5380
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Country | US
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Telephone | 941-235-9229
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Fax | 941-235-9232
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MS. STACEY L BROWN
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Credential |
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Telephone | 941-235-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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