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NPI Code Detail

MEDICARE: JOSEPH S. DUNCAN LICSW

MEDICARE: JOSEPH S. DUNCAN LICSW
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
11041C0700XClinical Social Worker61319MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16256711OTHERMNUBH MEDICA
282285DUOTHERMNBLUECROSS BLUESHIELD
3HP42096OTHERMNHEALTH PARTNERS

General Provider Information

NPI Number : 1942375910
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH S. DUNCAN LICSW
Provider Business Mailing Address
First Line : 2414 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3713
Country : US
Telephone Number : 612-879-5346
Fax Number : 612-879-5272
Provider Business Practice Location Address
First Line : 2414 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3713
Country : US
Telephone Number : 612-879-5346
Fax Number : 612-879-5272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 07/08/2007

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