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General NPI Number Information
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NPI Number | 1477005429
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Entity Type | Individual
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Provider Name | BRIDGET LASHUNDRA HOPSON NP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 5315 ROSS AVE
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City | DALLAS
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State | TX
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Zip | 75206-7418
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Country | US
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Telephone | 214-826-2151
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Fax |
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Provider Business Mailing Address
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Address Line | 5220 PARK AVE STE 150
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City | MEMPHIS
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State | TN
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Zip | 38119-3548
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Country | US
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Telephone | 901-755-2255
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 21501
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License Number State | TN
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