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NPI 1780477794

NPI 1780477794 : LAUREN N BRIDGES DC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1780477794
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN N BRIDGES DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2025
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    Last Update Date     |    05/23/2025
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Provider Practice Location Address
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    Address Line         |    3225 CUMBERLAND BLVD SE STE 100 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30339-6408
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    Country              |    US
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    Telephone            |    340-998-1939
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2550 SANDY PLAINS RD STE 225 
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    City                 |    MARIETTA
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    State                |    GA
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    Zip                  |    30066-7256
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    Country              |    US
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    Telephone            |    340-998-1939
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MT011627
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CHIR010919
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    License Number State |    GA
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