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General NPI Number Information
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NPI Number | 1457730749
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Entity Type | Organization
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Legal Business Name | KNOWLES DUNCAN & ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 341 LOGAN ST SUITE 120
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City | NOBLESVILLE
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State | IN
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Zip | 46060-1557
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Country | US
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Telephone | 317-776-3310
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Fax | 317-776-3577
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Provider Business Mailing Address
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Address Line | 341 LOGAN STREET SUITE 120
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City | NOBLESVILLE
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State | IN
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Zip | 46060
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Country | US
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Telephone | 317-776-3310
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Fax | 317-776-3577
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDI KNOWLES DUNCAN
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Credential | MD
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Telephone | 317-776-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 01042811A
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License Number State | IN
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