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General NPI Number Information
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NPI Number | 1588828255
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Entity Type | Individual
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Provider Name | DEBORAH OWENS DUVALL
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Gender | Female
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | U.S. DEPARTMENT OF VETERANS AFFAIRS 1310 24TH AVE. SO
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City | NASHVILLE
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State | TN
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Zip | 37212
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Country | US
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Telephone | 615-367-8829
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Fax | 615-366-4048
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Provider Business Mailing Address
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Address Line | 1870 DESTINY LANE
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City | BOWLING GREEN
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State | KY
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Zip | 42104-1639
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Country | US
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Telephone | 270-320-0414
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3474
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License Number State | KY
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