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NPI 1346660255

NPI 1346660255 : CHRISTOPHER DUNCAN ATC, CES : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1346660255
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER DUNCAN ATC, CES
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/17/2014
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    Last Update Date     |    04/17/2014
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Provider Practice Location Address
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    Address Line         |    600 22ND ST NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20052-0055
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    Country              |    US
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    Telephone            |    202-994-5779
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 22ND ST NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20052-0055
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    Country              |    US
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    Telephone            |    
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    020402050
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    License Number State |    VA
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