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General NPI Number Information
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NPI Number | 1134538499
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Entity Type | Organization
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Legal Business Name | DUGGAN THERAPY LLC
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 08/11/2014
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Provider Practice Location Address
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Address Line | 5027 PINE CREEK DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-4849
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Country | US
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Telephone | 614-306-1474
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Fax | 267-907-1474
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Provider Business Mailing Address
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Address Line | 5027 PINE CREEK DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-4849
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Country | US
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Telephone | 614-306-1474
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Fax | 267-907-1474
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MRS. LAURA J DUGGAN
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Credential | PC
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Telephone | 614-306-1474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C 0800458
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License Number State | OH
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