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General NPI Number Information
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NPI Number | 1487875613
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Entity Type | Individual
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Provider Name | RACHEL MARIE BRINGEWATT M.A.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 415 E 23RD ST STE A
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City | FREMONT
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State | NE
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Zip | 68025-2393
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Country | US
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Telephone | 402-721-8960
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Fax | 402-322-8475
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Provider Business Mailing Address
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Address Line | 415 E 23RD ST STE A
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City | FREMONT
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State | NE
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Zip | 68025-2393
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Country | US
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Telephone | 402-721-8960
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Fax | 402-322-8475
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 297
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License Number State | NE
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