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General NPI Number Information
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NPI Number | 1316360142
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Entity Type | Individual
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Provider Name | TIMOTHY DUGAN B.S.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2014
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 8801 LIPAN ST
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City | THORNTON
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State | CO
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Zip | 80260-4912
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Country | US
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Telephone | 303-412-3751
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Fax |
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Provider Business Mailing Address
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Address Line | 11059 E BETHANY DR STE 200 AURORA MENTAL HEALTH
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City | AURORA
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State | CO
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Zip | 80114
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Country | US
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Telephone | 303-412-3945
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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