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General NPI Number Information
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NPI Number | 1245949247
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Entity Type | Individual
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Provider Name | BRIDGETT GUIDISH DPT
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 317 W SPRING ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-7102
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Country | US
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Telephone | 931-253-1976
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Fax |
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Provider Business Mailing Address
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Address Line | 725 BROCHARDT BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37934-0935
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Country | US
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Telephone | 865-622-0788
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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 | 14604
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License Number State | TN
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