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General NPI Number Information
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NPI Number | 1912814716
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Entity Type | Organization
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Legal Business Name | DUO HEALTH OF PUERTO RICO, LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 1 CALLE TOMAS DAVILA
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City | BARCELONETA
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State | PR
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Zip | 00617-2798
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Country | US
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Telephone | 305-697-8006
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530322
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City | ATLANTA
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State | GA
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Zip | 30353-0322
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Country | US
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Telephone | 305-697-8006
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | BRYAN BECKER
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Credential |
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Telephone | 814-470-3634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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