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General NPI Number Information
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NPI Number | 1144815333
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Entity Type | Individual
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Provider Name | SETH BUGG DC
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Gender | Male
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 05/08/2022
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Provider Practice Location Address
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Address Line | 1235 INDIANA CT STE 105
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City | REDLANDS
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State | CA
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Zip | 92374-4540
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Country | US
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Telephone | 909-793-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 34595 AVENUE H
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City | YUCAIPA
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State | CA
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Zip | 92399-5325
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 35026
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License Number State | CA
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