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General NPI Number Information
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NPI Number | 1942568480
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Entity Type | Organization
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Legal Business Name | PATRICIA J DURY MD PA INC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 1708 CAPE CORAL PARKWAY W SUITE 13
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City | CAPE CORAL
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State | FL
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Zip | 33914
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Country | US
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Telephone | 239-945-5015
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Fax | 239-945-5017
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Provider Business Mailing Address
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Address Line | 1708 CAPE CORAL PKWY W SUITE 13
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City | CAPE CORAL
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State | FL
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Zip | 33914-6985
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Country | US
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Telephone | 239-945-5015
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Fax | 239-945-5017
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PATRICIA J DURY
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Credential | MD
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Telephone | 239-945-5015
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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 | ME0070701
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License Number State | FL
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