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General NPI Number Information
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NPI Number | 1578876967
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Entity Type | Individual
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Provider Name | BRIDGET POWERS MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 39 CLAY BROOK DR.
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City | PLYMOUTH
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State | NH
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Zip | 03264
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Country | US
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Telephone | 603-726-1979
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Fax | 603-536-9757
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Provider Business Mailing Address
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Address Line | 39 CLAY BROOK DR.
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City | PLYMOUTH
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State | NH
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Zip | 03264
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Country | US
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Telephone | 603-726-1979
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Fax | 603-536-9757
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0575
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License Number State | NH
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