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Individual
IRVINE DUPLAN
Active
Individual
IRVINE DUPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57066
GA
208M00000X
Hospitalist Physician
Primary
057066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765124784A
—
GA
05
—
765124784B
—
GA
05
—
765124784C
—
GA
01
—
P00363495
RR MEDICARE
GA
Enumeration date
10/12/2006
Last updated
12/02/2020
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