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General NPI Number Information
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NPI Number | 1528181476
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Entity Type | Organization
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Legal Business Name | DUNELAND COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 215 W INDIANA AVE
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City | CHESTERTON
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State | IN
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Zip | 46304-2457
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Country | US
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Telephone | 219-921-0705
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Fax | 219-921-0557
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Provider Business Mailing Address
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Address Line | 215 W INDIANA AVE
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City | CHESTERTON
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State | IN
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Zip | 46304-2457
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Country | US
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Telephone | 219-921-0705
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Fax | 219-921-0557
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEANNE TRIFONE
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Credential | PSYD
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Telephone | 219-921-0705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20040996
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License Number State | IN
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