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General NPI Number Information
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NPI Number | 1891180816
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Entity Type | Individual
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Provider Name | NARESH KUMAR DUGAL DPM
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Gender | Male
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 9755 N 90TH ST STE C120
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5174
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Country | US
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Telephone | 626-290-8091
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 E DEER VALLEY DR UNIT 333
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City | PHOENIX
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State | AZ
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Zip | 85054-5669
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Country | US
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Telephone | 626-290-8091
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 2018017440
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 12-00444
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 000978
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License Number State | AZ
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