MEDICARE: MRS. HOLLY ANN DUNCAN AU.D.

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
1	231H00000X	Audiologist	AUD.0000717	CO
2	231H00000X	Audiologist	AUD200001204	DC
3	237600000X	Audiologist-Hearing Aid Fitter	AUD.0000717	CO
4	231H00000X	Audiologist	01495	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902215502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HOLLY ANN DUNCAN AU.D.

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-933-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	11085 LITTLE PATUXENT PKWY STE 101
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-2914
Country	:	US
Telephone Number	:	410-760-8840
Fax Number	:	410-367-2464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2014
Last Update Date	:	12/16/2024

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Directions to “ MRS. HOLLY ANN DUNCAN AU.D.” Practice Location

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