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General NPI Number Information
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NPI Number | 1407478878
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Entity Type | Individual
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Provider Name | BRIDGET PODBIELSKI BS, (RT) ,(R)
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 1301 SUMMIT DR
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City | ROYERSFORD
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State | PA
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Zip | 19468-2873
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Country | US
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Telephone | 610-547-0553
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 SUMMIT DR
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City | ROYERSFORD
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State | PA
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Zip | 19468-2873
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Country | US
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Telephone | 610-547-0553
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 44396
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License Number State | PA
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