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General NPI Number Information
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NPI Number | 1376081604
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Entity Type | Individual
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Provider Name | BRIDGET WEBB MS, LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 529 E STROOP RD
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City | DAYTON
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State | OH
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Zip | 45429-3245
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Country | US
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Telephone | 937-210-9754
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Fax |
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Provider Business Mailing Address
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Address Line | 924 GREENMOUNT BLVD
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City | DAYTON
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State | OH
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Zip | 45419-2853
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Country | US
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Telephone | 937-479-0502
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2001609
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License Number State | OH
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