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General NPI Number Information
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NPI Number | 1114100070
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Entity Type | Organization
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Legal Business Name | DOCTORS DUGAN AND DUGAN, LLC
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 1132 W MADISON AVE
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City | ATHENS
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State | TN
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Zip | 37303-4105
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Country | US
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Telephone | 423-745-5405
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Fax |
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Provider Business Mailing Address
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Address Line | 1132 W MADISON AVE
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City | ATHENS
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State | TN
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Zip | 37303-4105
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Country | US
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Telephone | 423-745-5405
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. JAMES L DUGAN I
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Credential | D.D.S.
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Telephone | 423-745-5405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS0000001804
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License Number State | TN
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