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General NPI Number Information
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NPI Number | 1851667562
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Entity Type | Individual
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Provider Name | ERIN WILKERSON BRIDGEWATER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 545 S PRESTON RD STE 100
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City | CELINA
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State | TX
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Zip | 75009
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Country | US
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Telephone | 945-204-7960
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Fax | 945-204-7961
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Provider Business Mailing Address
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Address Line | PO BOX 733784
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City | DALLAS
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State | TX
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Zip | 75373-3784
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Country | US
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Telephone | 682-885-6483
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Fax | 682-303-7132
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | Q4045
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License Number State | TX
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