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General NPI Number Information
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NPI Number | 1023315348
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Entity Type | Individual
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Provider Name | CHARITY E DUGAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 1700 REISTERSTOWN RD STE 102
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City | PIKESVILLE
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State | MD
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Zip | 21208-2938
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Country | US
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Telephone | 410-469-5555
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Fax | 410-469-5484
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Provider Business Mailing Address
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Address Line | 1700 REISTERSTOWN RD STE 102
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City | PIKESVILLE
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State | MD
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Zip | 21208-2938
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Country | US
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Telephone | 410-469-5555
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Fax | 410-469-5484
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H0088668
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | NC2015-02212
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License Number State | NC
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