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General NPI Number Information
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NPI Number | 1689098857
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Entity Type | Individual
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Provider Name | KAREN DUQUETTE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2014
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 540 E DIVISION ST
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City | ISHPEMING
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State | MI
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Zip | 49849
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Country | US
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Telephone | 906-486-6860
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Fax |
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Provider Business Mailing Address
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Address Line | 513 CLEVELAND AVE
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City | ISHPEMING
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State | MI
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Zip | 49849-2104
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Country | US
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Telephone | 906-486-6860
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301015812
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License Number State | MI
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