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General NPI Number Information
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NPI Number | 1427480011
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Entity Type | Individual
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Provider Name | BRADEN TALBOT DUNCAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1202 NE MCCLAIN RD STE 141
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City | BENTONVILLE
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State | AR
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Zip | 72712-3875
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Country | US
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Telephone | 479-278-4323
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Fax | 855-230-2716
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Provider Business Mailing Address
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Address Line | 1202 NE MCCLAIN RD STE 141
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City | BENTONVILLE
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State | AR
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Zip | 72712-3875
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Country | US
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Telephone | 479-278-4323
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Fax | 855-230-2716
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6975-C
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License Number State | AR
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