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General NPI Number Information
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NPI Number | 1902693872
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Entity Type | Organization
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Legal Business Name | BRIGID MEDICAL, LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 753 MALETA LN STE 101G
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City | CASTLE ROCK
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State | CO
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Zip | 80108-7605
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Country | US
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Telephone | 720-770-3919
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Fax | 720-598-9760
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Provider Business Mailing Address
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Address Line | 753 MALETA LN STE 101G
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City | CASTLE ROCK
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State | CO
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Zip | 80108-7605
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Country | US
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Telephone | 720-770-3919
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Fax | 720-598-9760
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Authorized Official
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Title or Position | FOUNDER, PA-C
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Name | JOCELYN CAVENDER
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Credential | PA-C
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Telephone | 909-921-6873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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