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General NPI Number Information
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NPI Number | 1124301270
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Entity Type | Individual
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Provider Name | MATTHEW JAMES DUGAN PA
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Gender | Male
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 710 NORTH AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3258
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Country | US
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Telephone | 269-704-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 125 S KALAMAZOO MALL SUITE 204
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City | KALAMAZOO
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State | MI
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Zip | 49007-4832
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Country | US
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Telephone | 269-343-3900
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601006814
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 001003129
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License Number State | NC
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