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General NPI Number Information
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NPI Number | 1407059629
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Entity Type | Individual
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Provider Name | BRIDGET MARTIN ARNPC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 300 71ST ST SUITE # 620
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3038
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Country | US
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Telephone | 305-866-9951
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Fax | 305-614-3352
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Provider Business Mailing Address
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Address Line | 2055 SOUTH ATLANTIC AVENUE UNIT # 801
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City | DAYTONA BEACH
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State | FL
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Zip | 32118
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Country | US
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Telephone | 706-346-1421
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | ARNP9256853
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License Number State | FL
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