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General NPI Number Information
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NPI Number | 1780033894
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Entity Type | Individual
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Provider Name | SUZANNE M DUGGER ED.D., LMHC,NCC, ACS
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Gender | Female
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 06/01/2025
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Provider Practice Location Address
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Address Line | 12571 FAIRINGTON WAY
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City | FORT MYERS
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State | FL
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Zip | 33913-2614
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Country | US
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Telephone | 734-800-5354
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Fax |
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Provider Business Mailing Address
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Address Line | 12571 FAIRINGTON WAY
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City | FORT MYERS
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State | FL
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Zip | 33913-2614
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Country | US
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Telephone | 734-800-5354
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2080
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH25493
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 265853
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License Number State | MS
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