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General NPI Number Information
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NPI Number | 1295085520
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Entity Type | Organization
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Legal Business Name | D & A COUNSELING
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 111 E 27TH ST STE 302
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City | BRYAN
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State | TX
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Zip | 77803-6947
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Country | US
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Telephone | 936-510-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E 27TH ST STE 302
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City | BRYAN
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State | TX
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Zip | 77803-6947
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Country | US
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Telephone | 936-510-8220
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. BRYAN THOMAS DUNCAN
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Credential | PH.D.
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Telephone | 512-988-7251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 34595
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License Number State | TX
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