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Individual

DR. SAMUEL WAYNE DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2611 NE 125TH ST, SUITE 225, SEATTLE, WA 98125-4373
(296) 361-6884
(206) 361-1598
Mailing address
2611 NE 125TH ST., SUITE 225, SEATTLE, WA 98125-4357
(296) 361-6884
(206) 361-1598

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001910
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005565417
AETNA
WA
01
91139348514
UNIFORM MEDICAL PLAN
WA
01
DU5108
REGENCE BLUE SHIELD
WA
Enumeration date
02/15/2007
Last updated
07/08/2007
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