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General NPI Number Information
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NPI Number | 1831271089
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Entity Type | Organization
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Legal Business Name | MITCHELL GERARD DUGAS, APMLLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 155 HOSPITAL DR STE 301
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City | LAFAYETTE
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State | LA
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Zip | 70503-2852
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Country | US
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Telephone | 337-232-1010
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Fax | 337-269-7495
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Provider Business Mailing Address
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Address Line | PO BOX 52505
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City | LAFAYETTE
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State | LA
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Zip | 70505-2505
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Country | US
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Telephone | 337-232-1010
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Fax | 337-269-7495
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MITCHELL GERARD DUGAS
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Credential | MD
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Telephone | 337-232-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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