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General NPI Number Information
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NPI Number | 1821054776
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Entity Type | Individual
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Provider Name | DEBORAH (DEBBIE) ANN BRIDGES MD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 9 MEDICAL PARKWAY SUITE 202
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City | DALLAS
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State | TX
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Zip | 75234
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Country | US
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Telephone | 469-914-4467
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Fax | 972-241-0459
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Provider Business Mailing Address
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Address Line | 1399 HIDEAWAY LANE WEST
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City | HIDEAWAY
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State | TX
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Zip | 75771
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Country | US
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Telephone | 214-235-3086
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Fax | 972-494-6572
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35500
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | L6806
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License Number State | TX
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