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General NPI Number Information
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NPI Number | 1386799385
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Entity Type | Individual
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Provider Name | BRUCE D KUGLER PHD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1332 LINDEN STREET STE #3
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City | LONGMONT
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State | CO
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Zip | 80501
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Country | US
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Telephone | 303-919-3579
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Fax | 970-532-4891
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Provider Business Mailing Address
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Address Line | 848 6TH STREET
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City | BERTHOOD
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State | CO
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Zip | 80513
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Country | US
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Telephone | 303-919-3579
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Fax | 970-532-4891
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2323
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License Number State | CO
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