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General NPI Number Information
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NPI Number | 1629086582
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Entity Type | Individual
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Provider Name | DAVID MARTIN DUGAN MD DDS
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 39 COUNTRY CLUB ROAD
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City | ONEONTA
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State | NY
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Zip | 13820
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Country | US
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Telephone | 607-432-8808
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Fax | 607-432-2307
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Provider Business Mailing Address
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Address Line | 39 COUNTRY CLUB ROAD
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City | ONEONTA
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State | NY
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Zip | 13820
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Country | US
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Telephone | 607-432-8808
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Fax | 607-432-2307
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 047041
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 219962
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License Number State | NY
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