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General NPI Number Information
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NPI Number | 1518986892
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Entity Type | Individual
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Provider Name | JOHN P DUGAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 8000 EAST HWY 69, #B
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314
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Country | US
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Telephone | 928-775-5143
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Fax | 928-775-0844
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Provider Business Mailing Address
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Address Line | PO BOX 27647
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86312-7647
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Country | US
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Telephone | 928-775-5143
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Fax | 928-775-0844
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1016
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License Number State | AZ
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