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General NPI Number Information
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NPI Number | 1356918874
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Entity Type | Individual
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Provider Name | SHANNON MICHAELA DUGAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 563 EPSILON DR STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15238-2830
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Country | US
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Telephone | 124-490-1324
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Fax |
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Provider Business Mailing Address
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Address Line | 3524 COUNTRYWOOD DR
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City | ALLISON PARK
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State | PA
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Zip | 15101-1065
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Country | US
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Telephone | 412-580-1629
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859078
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | DN1859078
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS044203
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License Number State | PA
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