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General NPI Number Information
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NPI Number | 1457884371
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Entity Type | Individual
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Provider Name | DAMIAN DUPLECHAIN MA
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Gender | Male
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 5959 WEST LOOP 610 SOUTH SUITE 600
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-409-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 2266 BANCROFT ST
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City | HOUSTON
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State | TX
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Zip | 77027-3706
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Country | US
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Telephone | 713-409-8111
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCDC 9007
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LPC 16268
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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