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General NPI Number Information
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NPI Number | 1013418078
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Entity Type | Individual
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Provider Name | DARLA BRIDGES CRT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 16874 HIGHWAY 43
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City | GREENSBURG
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State | LA
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Zip | 70441-4834
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Country | US
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Telephone | 225-222-6111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 865
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City | KENTWOOD
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State | LA
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Zip | 70444-0865
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | CRT.LT3010
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License Number State | LA
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