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General NPI Number Information
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NPI Number | 1841447083
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Entity Type | Individual
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Provider Name | JOHN MCDOUGALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 1460 75TH ST NE
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City | ROCHESTER
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State | MN
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Zip | 55906-8903
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Country | US
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Telephone | 507-282-8260
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 75TH ST NE
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City | ROCHESTER
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State | MN
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Zip | 55906-8903
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Country | US
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Telephone | 507-282-8260
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 20043
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License Number State | MN
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