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General NPI Number Information
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NPI Number | 1649199704
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Entity Type | Individual
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Provider Name | BRIDGID COLETTE MAGUIRE
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 3285 FERGUSON ST SW
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City | TUMWATER
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State | WA
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Zip | 98512-6143
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Country | US
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Telephone | 360-943-1907
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Fax |
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Provider Business Mailing Address
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Address Line | 7715 DOUGLAS ST W APT 5
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City | LAKEWOOD
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State | WA
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Zip | 98499-8622
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Country | US
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Telephone | 253-292-7992
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | WA
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