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General NPI Number Information
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NPI Number | 1902747553
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Entity Type | Individual
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Provider Name | BRIDGET K MIDDLETON
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 203 FOX RUN RD
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City | SAINT GEORGE
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State | SC
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Zip | 29477-7114
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Country | US
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Telephone | 843-566-2355
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Fax | 843-566-2355
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Provider Business Mailing Address
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Address Line | 1003 NW COUNTY ROAD 150
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City | MADISON
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State | FL
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Zip | 32340-3521
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Country | US
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Telephone | 843-566-2355
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | GA
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