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General NPI Number Information
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NPI Number | 1386678522
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Entity Type | Organization
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Legal Business Name | CRAIG NAUGLE, MD LLC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3850 S NATIONAL AVE STE 705
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5239
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Country | US
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Telephone | 417-889-3332
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Fax | 417-269-1209
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Provider Business Mailing Address
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Address Line | 3850 S NATIONAL AVE STE 705
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5239
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Country | US
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Telephone | 417-889-3332
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Fax | 417-269-1209
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CRAIG WILLIAMS NAUGLE
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Credential | M.D.
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Telephone | 417-889-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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