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General NPI Number Information
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NPI Number | 1184160947
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Entity Type | Individual
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Provider Name | JOHN DUGUAY DPT
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Gender | Male
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 9651 PRAIRIE RIDGE BLVD
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1928
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Country | US
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Telephone | 262-565-5017
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Fax |
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Provider Business Mailing Address
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Address Line | 945 RULE ST
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City | BATAVIA
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State | IL
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Zip | 60510-3075
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Country | US
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Telephone | 630-715-8451
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | WI
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