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General NPI Number Information
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NPI Number | 1366743486
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Entity Type | Individual
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Provider Name | THOMAS MARTIN DUGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 4673 RUE BELLE MER
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City | SANIBEL
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State | FL
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Zip | 33957-2707
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Country | US
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Telephone | 239-395-1078
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Fax | 239-395-1078
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Provider Business Mailing Address
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Address Line | 4673 RUE BELLE MER
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City | SANIBEL
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State | FL
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Zip | 33957-2707
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Country | US
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Telephone | 239-395-1078
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Fax | 239-395-1078
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 90469
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD016880E
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License Number State | PA
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