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NPI 1558097626

NPI 1558097626 : CLAIRE ELISE DUNCAN QMHP, LAPC : HAVERFORD, PA

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General NPI Number Information
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    NPI Number           |    1558097626
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    Entity Type          |    Individual 
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    Provider Name        |    CLAIRE ELISE DUNCAN QMHP, LAPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2022
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    Last Update Date     |    03/05/2025
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Provider Practice Location Address
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    Address Line         |    600 HAVERFORD RD STE G101 
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    City                 |    HAVERFORD
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    State                |    PA
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    Zip                  |    19041-1139
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    Country              |    US
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    Telephone            |    610-649-1080
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1344 S 52ND ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19143-4320
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    Country              |    US
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    Telephone            |    206-403-6279
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    APC000610
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    License Number State |    PA
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