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General NPI Number Information
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NPI Number | 1689958498
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Entity Type | Individual
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Provider Name | BRIDGET ELIZABETH RUTIGLIANO MA, LPC-MHSP, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 1222 16TH AVE S STE 24
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City | NASHVILLE
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State | TN
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Zip | 37212-2926
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Country | US
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Telephone | 629-206-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 1783 RED JACKET DR
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City | ANTIOCH
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State | TN
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Zip | 37013-4483
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Country | US
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Telephone | 629-206-8441
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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 | 4397
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License Number State | TN
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