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General NPI Number Information
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NPI Number | 1952794638
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Entity Type | Individual
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Provider Name | ELIZABETH DURAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | URB SAN GERARDO CALLE AUGUSTA 1761
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-518-1888
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Fax |
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Provider Business Mailing Address
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Address Line | URB SAN GERARDO CALLE AUGUSTA 1761
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-518-1888
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 31445
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21197
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License Number State | PR
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