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General NPI Number Information
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NPI Number | 1114972924
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Entity Type | Individual
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Provider Name | CATHY DUGGAN R.N.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1701 HIGH ST SUITE 102
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3103
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Country | US
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Telephone | 757-393-8585
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Fax | 757-393-8027
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Provider Business Mailing Address
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Address Line | 4269 TAYLOR RD APT. N-1
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City | CHESAPEAKE
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State | VA
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Zip | 23321-4726
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Country | US
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Telephone | 757-686-0054
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Fax |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 0001043396
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License Number State | VA
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