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General NPI Number Information
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NPI Number | 1861042244
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Entity Type | Individual
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Provider Name | DOLORES DUNCAN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 552 N PARK AVE
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City | WARREN
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State | OH
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Zip | 44481-1117
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Country | US
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Telephone | 234-243-4127
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 EUCLID AVE APT 710W
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City | CLEVELAND
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State | OH
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Zip | 44115-1517
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Country | US
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Telephone |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.406169
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0036297
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License Number State | OH
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