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General NPI Number Information
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NPI Number | 1346093895
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Entity Type | Organization
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Legal Business Name | BRIDGE-IT ANESTHESIA, PLLC
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 5700 N EXPRESSWAY STE 201
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4358
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Country | US
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Telephone | 956-708-2242
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Fax |
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Provider Business Mailing Address
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Address Line | 124 CALLE JACARANDA
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7412
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Country | US
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Telephone | 512-799-5234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA L MARREN
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Credential | CRNA
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Telephone | 512-799-5234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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