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General NPI Number Information
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NPI Number | 1063892743
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Entity Type | Individual
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Provider Name | BRIDGITTE MATTHEWS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 6856 RICHMOND HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22306
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Country | US
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Telephone | 571-348-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 350 NEW FIDELITY CT
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City | GARNER
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State | NC
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Zip | 27529-2665
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Country | US
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Telephone | 919-258-2714
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Fax | 410-648-4878
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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 | 042291
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 42613
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305213344
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License Number State | VA
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