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General NPI Number Information
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NPI Number | 1225275605
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Entity Type | Organization
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Legal Business Name | JOHN E. DUGIE II, D.C., P.C.
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 6821 MONTGOMERY BLVD NE STE. B
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1410
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Country | US
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Telephone | 505-884-7402
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Fax | 505-888-0027
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Provider Business Mailing Address
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Address Line | 6821 MONTGOMERY BLVD NE STE. B
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1410
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Country | US
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Telephone | 505-884-7402
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Fax | 505-888-0027
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN EDWARD DUGIE II
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Credential | D.C.
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Telephone | 505-884-7402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1630
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License Number State | NM
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