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General NPI Number Information
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NPI Number | 1891727624
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Entity Type | Organization
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Legal Business Name | BRUCE L BIGMAN MD PA
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 230 E NEW YORK AVE
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City | DELAND
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State | FL
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Zip | 32724-5522
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Country | US
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Telephone | 386-734-2214
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Fax | 386-734-2241
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Provider Business Mailing Address
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Address Line | 230 E NEW YORK AVE
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City | DELAND
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State | FL
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Zip | 32724-5522
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Country | US
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Telephone | 386-734-2214
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Fax | 386-734-2241
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE L BIGMAN
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Credential | MD
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Telephone | 386-734-2214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State | FL
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