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General NPI Number Information
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NPI Number | 1891029179
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Entity Type | Organization
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Legal Business Name | TASHAWNA K. DUNCAN, PH.D., P.A.
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Dates
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Enumeration Date | 09/19/2009
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Last Update Date | 09/19/2009
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Provider Practice Location Address
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Address Line | 5245 OFFICE PARK BLVD STE 105
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City | BRADENTON
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State | FL
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Zip | 34203-3444
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Country | US
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Telephone | 941-751-7545
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Fax | 941-755-2514
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Provider Business Mailing Address
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Address Line | 5245 OFFICE PARK BLVD STE 105
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City | BRADENTON
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State | FL
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Zip | 34203-3444
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Country | US
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Telephone | 941-751-7545
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Fax | 941-755-2514
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TASHAWNA KAY DUNCAN
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Credential | PH.D.
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Telephone | 941-751-7545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PY6421
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6421
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License Number State | FL
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