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General NPI Number Information
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NPI Number | 1902394273
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Entity Type | Organization
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Legal Business Name | MANDI DUGGAN LLC
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2 STONEBURY DR
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City | ARDEN
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State | NC
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Zip | 28704-6616
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Country | US
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Telephone | 561-702-7482
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Fax | 561-828-7720
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Provider Business Mailing Address
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Address Line | 2 STONEBURY DR
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City | ARDEN
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State | NC
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Zip | 28704-6616
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Country | US
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Telephone | 561-702-7482
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Fax | 561-828-7720
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Authorized Official
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Title or Position | OWNER
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Name | MANDI RENEE DUGGAN
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Credential |
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Telephone | 561-702-7482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MH8930
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License Number State | FL
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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 |
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License Number State |
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