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General NPI Number Information
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NPI Number | 1750473039
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Entity Type | Individual
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Provider Name | DEANNA VIOLA DUNCAN MD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/28/2013
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Provider Practice Location Address
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Address Line | 1800 ROSSVILLE AVE SUITE 7
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City | CHATTANOOGA
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State | TN
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Zip | 37408-1912
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Country | US
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Telephone | 423-531-6555
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Fax | 423-531-6565
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Provider Business Mailing Address
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Address Line | 1800 ROSSVILLE AVE SUITE 7
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City | CHATTANOOGA
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State | TN
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Zip | 37408-1912
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Country | US
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Telephone | 423-531-6555
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Fax | 423-531-6565
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29730
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 322043
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License Number State | GA
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