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General NPI Number Information
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NPI Number | 1366704777
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Entity Type | Organization
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Legal Business Name | SCOTT E DLUGOS MD
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 1415 ROSS AVE
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City | EL CENTRO
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State | CA
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Zip | 92243
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Country | US
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Telephone | 760-339-4983
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Fax | 760-339-4948
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Provider Business Mailing Address
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Address Line | 3251 CELINDA DR
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City | CARLSBAD
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State | CA
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Zip | 92008-2070
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Country | US
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Telephone | 858-212-9055
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SCOTT E DLUGOS
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Credential | MD
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Telephone | 858-212-9055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | G77449
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License Number State | CA
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