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1356677611 NPI number — PETER JOSEPH DUQUETTE PH.D.

NPI Number: 1356677611
Health Care Provider/Practitioner: PETER JOSEPH DUQUETTE PH.D.

Information about “1356677611” NPI (PETER JOSEPH DUQUETTE PH.D.) exists in 1356677611 in HTML format HTML  |  1356677611 in plain Text format TXT  |  1356677611 in PDF (Portable Document Format) PDF  |  1356677611 in an XML format XML  formats.

NPI Number : 1356677611 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356677611",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUQUETTE",
    "FirstName": "PETER",
    "MiddleName": "JOSEPH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "UNIVERSITY OF NORTH CAROLINA",
    "SecondLineMailingAddress": "CAMPUS BOX 7255",
    "MailingAddressCityName": "CHAPEL HILL",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27599-7255",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-966-4845",
    "MailingAddressFaxNumber": "919-966-2230",
    "FirstLinePracticeLocationAddress": "101 MANNING DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHAPEL HILL",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27514-4220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-966-4845",
    "PracticeLocationAddressFaxNumber": "919-966-2230",
    "EnumerationDate": "10/21/2009",
    "LastUpdateDate": "11/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103G00000X",
          "TaxonomyName": "Clinical Neuropsychologist",
          "LicenseNumber": "3865",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "3865",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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