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General NPI Number Information
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NPI Number | 1902842040
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Entity Type | Individual
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Provider Name | DAVID JOHN DURANTE MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 1900 RIDGE RD SUITE 130
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City | WEST SENECA
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State | NY
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Zip | 14224-3332
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Country | US
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Telephone | 716-677-0850
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Fax | 716-961-3705
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Provider Business Mailing Address
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Address Line | 1900 RIDGE RD SUITE 130
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City | WEST SENECA
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State | NY
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Zip | 14224
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Country | US
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Telephone | 716-677-0850
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Fax | 716-961-3705
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1565491
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 98869
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License Number State | NY
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