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NPI Code Detail

MEDICARE: VICTOR ALAN DURAN

MEDICARE:   VICTOR ALAN DURAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1902783004
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR ALAN DURAN
Provider Business Mailing Address
First Line : 400 GOLD AVE SW STE 1060
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3263
Country : US
Telephone Number : 305-450-9651
Fax Number :
Provider Business Practice Location Address
First Line : 400 GOLD AVE SW STE 1060
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3263
Country : US
Telephone Number : 305-450-9651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2025
Last Update Date : 08/19/2025

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Directions to “ VICTOR ALAN DURAN ” Practice Location

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