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General NPI Number Information
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NPI Number | 1912116872
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Entity Type | Individual
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Provider Name | MRS. JOANNE DUFTON
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 810 LANE AVE S
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City | JACKSONVILLE
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State | FL
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Zip | 32205-4785
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Country | US
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Telephone | 904-378-0685
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Fax | 904-378-3465
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Provider Business Mailing Address
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Address Line | PO BOX 1573
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City | ORANGE PARK
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State | FL
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Zip | 32067-1573
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3717
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License Number State | FL
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