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General NPI Number Information
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NPI Number | 1508332933
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Entity Type | Individual
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Provider Name | MARIE THERESE BRIDGES MS, RDN, CEDS
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Gender | Female
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 744 SOUTH ST # 1173
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2023
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Country | US
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Telephone | 646-484-9849
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Fax |
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Provider Business Mailing Address
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Address Line | 744 SOUTH ST # 1173
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2023
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Country | US
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Telephone | 646-484-9849
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN009532
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 008910
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DX6047
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT90499
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License Number State | TX
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