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General NPI Number Information
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NPI Number | 1619843059
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Entity Type | Individual
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Provider Name | MICHAEL D BUGLIONE PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 5112 N CROATAN HWY
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City | KITTY HAWK
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State | NC
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Zip | 27949-3988
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Country | US
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Telephone | 252-449-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 71 S DOGWOOD TRL
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City | SOUTHERN SHORES
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State | NC
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Zip | 27949-3802
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | NC
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