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General NPI Number Information
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NPI Number | 1568790962
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Entity Type | Organization
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Legal Business Name | DUNCAN PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 127 N 1000 E
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City | CELESTINE
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State | IN
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Zip | 47521
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Country | US
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Telephone | 812-234-4642
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Fax | 812-234-7314
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Provider Business Mailing Address
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Address Line | PO BOX 3166
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City | TERRE HAUTE
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State | IN
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Zip | 47803
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Country | US
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Telephone | 812-234-4642
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Fax | 812-234-7314
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT P DUNCAN
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Credential | PHD HSPP
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Telephone | 812-234-4642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20041336A
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License Number State | IN
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