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General NPI Number Information
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NPI Number | 1083774095
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Entity Type | Individual
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Provider Name | MARY KATHERINE DUNCAN ASW
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 GOVERNORS LN SUITE 110
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City | CHICO
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State | CA
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Zip | 95926-1990
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Country | US
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Telephone | 530-267-1718
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Fax | 530-267-1775
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Provider Business Mailing Address
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Address Line | 334 HENSHAW AVE
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City | CHICO
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State | CA
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Zip | 95973-7212
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Country | US
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Telephone | 530-592-7907
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18386
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License Number State | CA
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