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General NPI Number Information
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NPI Number | 1003804543
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Entity Type | Organization
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Legal Business Name | BRIDGES & BRIDGES INC
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 1501 N US HIGHWAY 441 BLDG. 1800, STE 1810
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City | THE VILLAGES
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State | FL
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Zip | 32159-8999
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Country | US
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Telephone | 352-751-8906
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1337
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City | BLUEFIELD
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State | WV
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Zip | 24701-1337
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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 | PRESIDENT
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Name | DR. CLIFTON L. BRIDGES JR.
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Credential | MD
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Telephone | 352-751-8906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | FL
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