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General NPI Number Information
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NPI Number | 1255461778
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Entity Type | Individual
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Provider Name | ERIN DAVID BIGLER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2483 N CANYON RD 201
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City | PROVO
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State | UT
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Zip | 84604-5943
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Country | US
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Telephone | 801-377-1072
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Fax | 801-377-1079
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Provider Business Mailing Address
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Address Line | PO BOX 1968
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City | PROVO
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State | UT
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Zip | 84603-1968
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Country | US
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Telephone | 801-374-8536
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Fax | 801-374-1072
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 116117-2501
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License Number State | UT
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