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General NPI Number Information
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NPI Number | 1992779250
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Entity Type | Individual
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Provider Name | MATTHEW DUKE DO
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 1209 N MILLER RD
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City | BUCKEYE
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State | AZ
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Zip | 85326-1043
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Country | US
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Telephone | 623-386-5785
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Fax | 623-386-6673
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Provider Business Mailing Address
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Address Line | 9250 N. 3RD ST SUITE 4010
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City | PHOENIX
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State | AZ
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Zip | 85020
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Country | US
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Telephone | 602-633-3848
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Fax | 602-633-3841
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3481
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License Number State | AZ
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