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Individual
MARY LEE DURAND
Active
Individual
MARY LEE DURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD241500
NJ
213E00000X
Podiatrist
SC004222L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000470601
AMERICHOICE
NJ
01
—
0728173000
AMERIHEALTH
NJ
01
—
1079674
HORIZON NJ HEALTH
NJ
05
—
7749007
—
NJ
01
—
8212423
GHI
—
01
—
96254
AMERIGROUP
—
01
—
P2458768
OXFORD
—
Enumeration date
09/25/2006
Last updated
07/08/2007
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