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General NPI Number Information
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NPI Number | 1629086160
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Entity Type | Individual
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Provider Name | DOUGLAS C DUGGAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 2926 COVEY LN
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City | SUNNYSIDE
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State | WA
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Zip | 98944-8941
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Country | US
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Telephone | 509-836-2818
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Fax | 509-836-2235
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Provider Business Mailing Address
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Address Line | 6022 THYNEWOOD LOOP
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City | WEST RICHLAND
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State | WA
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Zip | 99353-6076
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Country | US
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Telephone | 509-985-6149
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Fax | 509-698-3738
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD 3836
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License Number State | WA
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