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General NPI Number Information
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NPI Number | 1881713121
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Entity Type | Individual
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Provider Name | ADJOA B DUKER M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1475 MONTREAL RD
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City | TUCKER
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State | GA
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Zip | 30084-6922
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Country | US
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Telephone | 678-292-6606
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Fax | 678-280-7307
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Provider Business Mailing Address
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Address Line | 2045 PEACHTREE RD NE STE 310
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City | ATLANTA
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State | GA
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Zip | 30309-1407
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Country | US
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Telephone | 404-222-9914
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Fax | 678-280-7307
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 239794
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 96789
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License Number State | GA
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