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General NPI Number Information
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NPI Number | 1285766717
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Entity Type | Individual
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Provider Name | JAMES JOSEPH DUGAL MD, FACEP
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Gender | Male
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 9690 VENTANA WAY
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City | ALPHARETTA
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State | GA
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Zip | 30022-6394
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Country | US
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Telephone | 770-623-6773
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Fax |
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Provider Business Mailing Address
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Address Line | 5645 BUCKLEIGH POINTE
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City | SUWANEE
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State | GA
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Zip | 30024-3374
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Country | US
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Telephone | 770-623-6773
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 025341
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License Number State | GA
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