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General NPI Number Information
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NPI Number | 1700063757
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Entity Type | Individual
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Provider Name | KEVIN DUNCAN MCDOUGAL D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/18/2015
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Provider Practice Location Address
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Address Line | 2407 S CONGRESS AVE SUITE D
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City | AUSTIN
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State | TX
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Zip | 78704-5505
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Country | US
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Telephone | 512-442-2777
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Fax | 512-442-2963
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Provider Business Mailing Address
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Address Line | 2407 S CONGRESS AVE SUITE D
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City | AUSTIN
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State | TX
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Zip | 78704-5505
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Country | US
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Telephone | 512-442-2777
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Fax | 512-442-2963
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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 | 10741
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 68563151202
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License Number State | UT
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