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NPI Code Detail

MEDICARE: CHARITY DULEY

MEDICARE: CHARITY DULEY
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
1225100000XPhysical Therapist
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1396120861
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARITY DULEY
Provider Business Mailing Address
First Line : 454 CAMELOT DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2504
Country : US
Telephone Number : 573-356-5377
Fax Number :
Provider Business Practice Location Address
First Line : 3710 E 20TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3418
Country : US
Telephone Number : 907-744-4024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 04/26/2022

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Directions to “ CHARITY DULEY ” Practice Location

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