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General NPI Number Information
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NPI Number | 1023108305
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Entity Type | Individual
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Provider Name | DOROTHY E. G. DUGGER M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2020 LAND O LAKES BLVD SUITE 6
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City | LUTZ
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State | FL
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Zip | 33549-2931
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Country | US
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Telephone | 813-242-7880
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Fax | 813-242-7883
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Provider Business Mailing Address
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Address Line | 202 MYRTLE RIDGE RD
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City | LUTZ
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State | FL
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Zip | 33549-5628
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Country | US
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Telephone | 813-909-8299
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Fax | 813-909-8399
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME68403
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD027364E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101054935
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License Number State | VA
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