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General NPI Number Information
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NPI Number | 1093433229
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Entity Type | Individual
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Provider Name | ROSS MICHAEL DUGAS FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2825 GRAND POINT HWY LOT 6
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City | HENDERSON
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State | LA
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Zip | 70517-6972
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Country | US
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Telephone | 337-454-6238
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Fax | 337-408-1198
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Provider Business Mailing Address
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Address Line | 302 HACKER ST
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City | NEW IBERIA
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State | LA
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Zip | 70560-4508
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Country | US
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Telephone | 337-330-2576
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Fax | 337-321-6295
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 227028
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License Number State | LA
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