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General NPI Number Information
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NPI Number | 1083733257
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Entity Type | Organization
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Legal Business Name | DONALD E. CAGLE, M.D.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 320 RUSSELL BLVD
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1240
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Country | US
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Telephone | 936-569-6411
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Fax | 936-569-6446
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Provider Business Mailing Address
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Address Line | 320 RUSSELL BLVD
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1240
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Country | US
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Telephone | 936-569-6411
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Fax | 936-569-6446
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Authorized Official
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Title or Position | MEDICAL SECRETARY
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Name | JANET ALLEN
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Credential |
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Telephone | 936-569-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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