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General NPI Number Information
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NPI Number | 1518185677
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Entity Type | Individual
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Provider Name | ROBERT LEE DUNCAN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 835 S MAIN ST
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City | GREENVILLE
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State | MS
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Zip | 38701-5871
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Country | US
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Telephone | 662-335-9121
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Fax | 662-332-2511
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Provider Business Mailing Address
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Address Line | 1180 CILESTE ST
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City | GREENVILLE
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State | MS
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Zip | 38703-6539
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Country | US
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Telephone | 662-334-6019
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3281-03
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License Number State | MS
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