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General NPI Number Information
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NPI Number | 1255257085
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Entity Type | Individual
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Provider Name | STEVEN PUGH
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Gender | Male
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 802 S 200 W
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City | BLANDING
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State | UT
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Zip | 84511-3910
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Country | US
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Telephone | 435-678-3869
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Fax | 435-678-3769
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Provider Business Mailing Address
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Address Line | PO BOX 745
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City | BLANDING
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State | UT
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Zip | 84511-0745
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Country | US
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Telephone | 435-678-3386
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Fax | 435-678-3769
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13414468-4201
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License Number State | UT
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