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Individual
DR. JAIME ENRIQUE DUARTE
Active
Individual
DR. JAIME ENRIQUE DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163266301
—
TX
05
—
163266303
—
TX
01
—
7893532
AETNA ID
TX
01
—
8S0530
BLUE CROSS ID
TX
Enumeration date
12/12/2006
Last updated
03/21/2018
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