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General NPI Number Information
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NPI Number | 1447843404
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Entity Type | Organization
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Legal Business Name | DUGGAR FAMILY PRACTICE
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 107 NORTH 9TH STREET
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City | OZARK
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State | AR
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Zip | 72949
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Country | US
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Telephone | 479-667-2923
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Fax | 479-667-2857
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Provider Business Mailing Address
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Address Line | 107 NORTH 9TH STREET
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City | OZARK
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State | AR
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Zip | 72949
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Country | US
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Telephone | 479-667-2923
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. JESSICA L DUGGAR
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Credential | APRN
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Telephone | 479-667-2923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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