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General NPI Number Information
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NPI Number | 1659627933
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Entity Type | Individual
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Provider Name | PATSY ANN DUGGER L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 3228 UNIVERSITY AVE SUITE 106
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City | COLUMBUS
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State | GA
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Zip | 31907-7209
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Country | US
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Telephone | 706-563-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 IRONSTONE DR
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City | COLUMBUS
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State | GA
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Zip | 31907-5705
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Country | US
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Telephone | 706-221-7849
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT005661
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License Number State | GA
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