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General NPI Number Information
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NPI Number | 1154352011
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Entity Type | Individual
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Provider Name | DUANE E BRIDGES M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 11633 HAWTHORNE BLVD #400
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City | HAWTHORNE
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State | CA
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Zip | 90250-2321
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Country | US
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Telephone | 310-973-0600
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Fax | 310-419-0834
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Provider Business Mailing Address
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Address Line | 11633 HAWTHORNE BLVD #400
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City | HAWTHORNE
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State | CA
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Zip | 90250-2321
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Country | US
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Telephone | 310-973-0600
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Fax | 310-419-0834
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | G63954
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G63954
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License Number State | CA
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