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NPI Code Detail

MEDICARE: DR. JAMES WILLIAM DUGAN PH.D.

MEDICARE: DR. JAMES WILLIAM DUGAN PH.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
1103T00000XPsychologist01751MO

General Provider Information

NPI Number : 1134250889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES WILLIAM DUGAN PH.D.
Provider Business Mailing Address
First Line : 3680 JEFFERSON ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2828
Country : US
Telephone Number : 816-561-9312
Fax Number :
Provider Business Practice Location Address
First Line : 10000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4359
Country : US
Telephone Number : 816-561-9312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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