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General NPI Number Information
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NPI Number | 1669633269
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Entity Type | Individual
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Provider Name | NICHOLAS DUNCAN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 231 VILLAGE BLVD
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-9415
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Country | US
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Telephone | 775-831-3466
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Fax | 775-831-2631
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Provider Business Mailing Address
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Address Line | 231 VILLAGE BLVD
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-9415
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Country | US
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Telephone | 775-831-3466
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Fax | 775-831-2631
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2702
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License Number State | NV
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