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General NPI Number Information
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NPI Number | 1821945395
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Entity Type | Individual
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Provider Name | MR. ANTHONY D BRYDIE SR.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 11939 W CAMBRIDGE AVE
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City | AVONDALE
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State | AZ
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Zip | 85392-5662
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Country | US
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Telephone | 602-338-3320
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Fax | 480-323-2504
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Provider Business Mailing Address
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Address Line | 11939 W CAMBRIDGE AVE
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City | AVONDALE
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State | AZ
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Zip | 85392-5662
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Country | US
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Telephone | 602-338-3320
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Fax | 480-323-2504
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | AZ
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