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NPI Code Detail

MEDICARE: DUANE R MAJERES MS, LICENSED PSYCH.

MEDICARE: DUANE R MAJERES MS, LICENSED PSYCH.
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
1103TC1900XCounseling Psychologist144SD

General Provider Information

NPI Number : 1790895282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUANE R MAJERES MS, LICENSED PSYCH.
Provider Business Mailing Address
First Line : 357 KANSAS AVE SE
Second Line :
City : HURON
State : SD
Zip : 57350-2517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 357 KANSAS AVE SE
Second Line :
City : HURON
State : SD
Zip : 57350-2517
Country : US
Telephone Number : 605-352-8596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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