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General NPI Number Information
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NPI Number | 1770704009
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Entity Type | Individual
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Provider Name | JEAN TUGGEY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 1721 CIMARRON TRL SUITE 11
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City | HURST
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State | TX
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Zip | 76054-3400
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Country | US
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Telephone | 817-285-8466
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Fax | 817-285-0302
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Provider Business Mailing Address
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Address Line | 8090 PRECINCT LINE RD SUITE 100
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City | COLLEYVILLE
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State | TX
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Zip | 76034-7676
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Country | US
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Telephone | 817-428-8700
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Fax | 817-428-8916
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14456
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License Number State | TX
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