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General NPI Number Information
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NPI Number | 1992132658
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Entity Type | Individual
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Provider Name | LACLINDA BAHEA DUNCAN LLMSW
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Gender | Female
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 1760 CRESCENT LAKE ROAD #220
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City | WATERFORD
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State | MI
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Zip | 48327
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Country | US
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Telephone | 248-802-0184
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Fax |
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Provider Business Mailing Address
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Address Line | 6549 TOWN CENTER DR STE A
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City | CLARKSTON
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State | MI
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Zip | 48346-4824
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Country | US
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Telephone | 800-395-3223
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6802087876
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851098468
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License Number State | MI
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