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General NPI Number Information
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NPI Number | 1679279467
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Entity Type | Individual
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Provider Name | ABIGAIL HUNT DUGO PA
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Gender | Female
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 2150A S CLINTON AVE
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City | ROCHESTER
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State | NY
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Zip | 14618-2618
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Country | US
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Telephone | 585-256-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 2456 JACKSON RD
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City | SENECA FALLS
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State | NY
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Zip | 13148-9471
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Country | US
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Telephone | 315-651-1106
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 031305
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16286
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License Number State | TX
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