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General NPI Number Information
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NPI Number | 1730395385
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Entity Type | Organization
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Legal Business Name | VIRGINIA MCDOUGALL MD, PA
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5833 SPOHN DR SUITE 203
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4135
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Country | US
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Telephone | 361-986-9800
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Fax | 361-986-9803
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Provider Business Mailing Address
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Address Line | 5833 SPOHN DR SUITE 203
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4135
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Country | US
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Telephone | 361-986-9800
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Fax | 361-986-9803
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. VIRGINIA H MCDOUGALL
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Credential | M.D., FACS
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Telephone | 361-986-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | M3015
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License Number State | TX
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