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General NPI Number Information
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NPI Number | 1043499213
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Entity Type | Individual
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Provider Name | PAUL E. SCRUGGS DDS
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Gender | Male
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 7200 STONEHENGE DR SUITE 210
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City | RALEIGH
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State | NC
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Zip | 27613-1620
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Country | US
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Telephone | 919-846-6622
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Fax | 919-846-8012
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Provider Business Mailing Address
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Address Line | 7200 STONEHENGE DR SUITE 210
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City | RALEIGH
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State | NC
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Zip | 27613-1620
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Country | US
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Telephone | 919-846-6622
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Fax | 919-846-8012
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 5054
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License Number State | NC
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