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General NPI Number Information
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NPI Number | 1962908806
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Entity Type | Individual
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Provider Name | ADOLFO DURON JR. NNP
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Gender | Male
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Dates
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Enumeration Date | 03/31/2018
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 5430 FREDERICKSBURG RD STE 503
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-541-8281
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Fax | 210-541-9123
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Provider Business Mailing Address
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Address Line | 5430 FREDERICKSBURG RD STE 508
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3561
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Country | US
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Telephone | 210-541-8281
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Fax | 210-541-9123
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 754871
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | AP137284
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License Number State | TX
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