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General NPI Number Information
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NPI Number | 1679982904
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Entity Type | Individual
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Provider Name | BRIDGET CHINN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 540 NOEL AVE
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1386
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Country | US
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Telephone | 270-885-7887
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Fax |
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Provider Business Mailing Address
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Address Line | 120 W DORRIS MOORE DR
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City | RUSSELLVILLE
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State | KY
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Zip | 42276-9747
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Country | US
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Telephone | 315-854-7306
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 007634
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License Number State | KY
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