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NPI Code Detail

MEDICARE: DEBORAH L DUNCAN

MEDICARE:   DEBORAH L DUNCAN
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
1164W00000XLicensed Practical Nurse120158OH

General Provider Information

NPI Number : 1346513066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L DUNCAN
Provider Business Mailing Address
First Line : 22442 STATE ROUTE 73
Second Line :
City : WEST PORTSMOUTH
State : OH
Zip : 45663-6365
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22442 STATE ROUTE 73
Second Line :
City : WEST PORTSMOUTH
State : OH
Zip : 45663-6365
Country : US
Telephone Number : 740-352-0430
Fax Number : 740-858-5413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2012
Last Update Date : 02/10/2012

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Directions to “ DEBORAH L DUNCAN ” Practice Location

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