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General NPI Number Information
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NPI Number | 1952688830
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Entity Type | Individual
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Provider Name | SAMANDA DURAND D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 661 SIERRA ROSE DR
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-982-8255
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Fax | 775-982-8251
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Provider Business Mailing Address
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Address Line | 850 HARVARD WAY # T5
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City | RENO
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State | NV
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Zip | 89502-2055
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Country | US
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Telephone | 775-982-5262
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Fax | 775-982-4595
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | DO1912
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP100033437
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS016598
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P1747
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO1912
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License Number State | NV
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