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General NPI Number Information
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NPI Number | 1154864197
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Entity Type | Individual
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Provider Name | MICHELLE K DUNCAN L.I.C.D.C., L.I.S.W
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Gender | Female
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 05/03/2020
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Provider Practice Location Address
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Address Line | 2670 N COLUMBUS ST STE G
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City | LANCASTER
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State | OH
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Zip | 43130-8408
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Country | US
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Telephone | 740-901-1231
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Fax | 740-901-3021
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Provider Business Mailing Address
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Address Line | 2670 N COLUMBUS ST STE G
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City | LANCASTER
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State | OH
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Zip | 43130-8408
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Country | US
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Telephone | 740-901-1231
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Fax | 740-901-3021
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 101110
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1801304
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License Number State | OH
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