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Individual
DR. TIMOTHY DEEGAN DOUGLASS
Active
Individual
DR. TIMOTHY DEEGAN DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509581Y0NH01
ANTHEM BLUE CROSSBLUE SHI
NH
01
—
8516111
CIGNA
NH
Enumeration date
11/29/2006
Last updated
12/10/2009
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