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NPI Code Detail

MEDICARE: DR. DEAN M. DUNCAN PH.D., LPC, LCPC

MEDICARE: DR. DEAN M. DUNCAN PH.D., LPC, LCPC
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
1101YP2500XProfessional CounselorC-1584OR
2101YP2500XProfessional Counselor180-001241IL

General Provider Information

NPI Number : 1972653442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEAN M. DUNCAN PH.D., LPC, LCPC
Provider Business Mailing Address
First Line : 4676 COMMERCIAL ST SE # 271
Second Line :
City : SALEM
State : OR
Zip : 97302-1902
Country : US
Telephone Number : 503-871-6857
Fax Number : 503-588-8103
Provider Business Practice Location Address
First Line : 1845 COMMERCIAL ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-5203
Country : US
Telephone Number : 503-871-6857
Fax Number : 503-588-8103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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