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General NPI Number Information
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NPI Number | 1003464637
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Entity Type | Individual
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Provider Name | BRIDGET MALEY
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Gender | Female
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 7532 WILKINS DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-9338
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Country | US
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Telephone | 910-868-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 8 PARK BLVD UNIT 2
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City | WINSTON SALEM
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State | NC
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Zip | 27127-2041
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Country | US
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Telephone | 484-639-4978
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT028009
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | P22684
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License Number State | NC
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