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General NPI Number Information
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NPI Number | 1629987516
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Entity Type | Individual
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Provider Name | BRIDGET ANNE MAHER NP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 12843 EL CAMINO REAL STE 203
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City | SAN DIEGO
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State | CA
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Zip | 92130-2966
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Country | US
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Telephone | 858-558-0399
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Fax |
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Provider Business Mailing Address
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Address Line | 118 JUPITER ST APT 3
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City | ENCINITAS
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State | CA
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Zip | 92024-1451
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Country | US
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Telephone | 860-471-2898
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95041398
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License Number State | CA
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