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General NPI Number Information
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NPI Number | 1235327560
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Entity Type | Individual
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Provider Name | ELIZABETH RYAN DUKE LPC
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Gender | Female
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 2016 STONEGATE TRL STE 112
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City | VESTAVIA HLS
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State | AL
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Zip | 35242-2249
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Country | US
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Telephone | 205-440-6292
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Fax |
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Provider Business Mailing Address
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Address Line | 4359 MAPLEWOOD DR
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City | TRUSSVILLE
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State | AL
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Zip | 35173-1571
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Country | US
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Telephone | 205-420-1934
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2998
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License Number State | AL
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