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General NPI Number Information
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NPI Number | 1265497630
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Entity Type | Individual
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Provider Name | KIRSTEN C DUGGINS P.A., N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 221 BROOKE ACRES DR
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City | LOS GATOS
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State | CA
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Zip | 95032-6462
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Country | US
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Telephone | 408-656-9049
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Fax |
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Provider Business Mailing Address
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Address Line | 221 BROOKE ACRES DR
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City | LOS GATOS
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State | CA
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Zip | 95032-6462
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Country | US
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Telephone | 408-656-9049
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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 | PA12256
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA 12256
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 257522-4568
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License Number State | CA
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