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General NPI Number Information
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NPI Number | 1700898814
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Entity Type | Organization
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Legal Business Name | THOMAS P. DLUGOS, MD, PC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 309 E ESPANOLA ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907
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Country | US
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Telephone | 719-471-7252
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Fax | 719-471-7035
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Provider Business Mailing Address
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Address Line | 309 E ESPANOLA ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907
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Country | US
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Telephone | 719-471-7252
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Fax | 719-471-7035
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS PAUL DLUGOS
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Credential | M.D.
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Telephone | 719-471-7252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 23003
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License Number State | CO
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