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General NPI Number Information
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NPI Number | 1649120411
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Entity Type | Individual
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Provider Name | JAMES ROBERT BRUGGER OTR/L
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Gender | Male
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 5935 CARNEGIE BLVD STE 104
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City | CHARLOTTE
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State | NC
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Zip | 28209-4672
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Country | US
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Telephone | 704-323-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 522 ISLE OF PINES RD
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City | MOORESVILLE
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State | NC
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Zip | 28117-7433
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Country | US
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Telephone | 704-267-8752
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 18147
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License Number State | NC
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