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General NPI Number Information
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NPI Number | 1598963050
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Entity Type | Individual
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Provider Name | BRIDGET S GARMISA CRNP, RD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 7056 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1826
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Country | US
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Telephone | 215-247-2996
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Fax |
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Provider Business Mailing Address
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Address Line | 7056 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1826
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Country | US
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Telephone | 215-247-2996
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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 | 953267
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP011696
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License Number State | PA
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