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NPI Code Detail

MEDICARE: VINSON J DULUDE

MEDICARE: VINSON J DULUDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.191857OH
2171M00000XCase Manager/Care CoordinatorCDCA.191857OH
3175T00000XPeer SpecialistAPS.004795OH

General Provider Information

NPI Number : 1568225068
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINSON J DULUDE
Provider Business Mailing Address
First Line : 9 CHESAPEAKE PLZ
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-1003
Country : US
Telephone Number : 740-297-6019
Fax Number :
Provider Business Practice Location Address
First Line : 9 CHESAPEAKE PLZ
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-1003
Country : US
Telephone Number : 740-297-6019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 12/08/2025

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Directions to “ VINSON J DULUDE ” Practice Location

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