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General NPI Number Information
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NPI Number | 1417989724
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Entity Type | Individual
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Provider Name | JAY DANIEL DUHON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 2301 OHIO DR STE. 130
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City | PLANO
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State | TX
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Zip | 75093-3927
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Country | US
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Telephone | 214-476-4137
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Fax | 972-867-3402
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Provider Business Mailing Address
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Address Line | 13435 MILL GROVE LN
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City | DALLAS
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State | TX
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Zip | 75240-5535
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Country | US
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Telephone | 214-476-4137
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Fax | 972-867-3402
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 23838
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License Number State | TX
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