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General NPI Number Information
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NPI Number | 1578549713
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Entity Type | Individual
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Provider Name | BRIAN PATRICK BUGGY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 2801 W KINNICKINNIC RIVER PKWY SUITE 475
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City | MILWAUKEE
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State | WI
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Zip | 53215-3669
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Country | US
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Telephone | 414-649-3577
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Fax | 414-649-3753
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Provider Business Mailing Address
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Address Line | 2801 W KINNICKINNIC RIVER PKWY STE 436
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City | MILWAUKEE
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State | WI
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Zip | 53215-3678
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Country | US
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Telephone | 414-649-3577
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Fax | 414-649-3753
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25134
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License Number State | WI
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