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General NPI Number Information
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NPI Number | 1841825155
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Entity Type | Individual
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Provider Name | SHAWN JAY DUGAN PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 18747 N REEMS RD STE 500
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City | SURPRISE
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State | AZ
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Zip | 85374-8645
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Country | US
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Telephone | 520-333-4949
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Fax | 520-526-9962
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Provider Business Mailing Address
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Address Line | 18747 N REEMS RD STE 500
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City | SURPRISE
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State | AZ
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Zip | 85374-8645
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Country | US
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Telephone | 520-333-4949
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Fax | 520-526-9962
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 261409
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License Number State | AZ
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