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General NPI Number Information
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NPI Number | 1922263920
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Entity Type | Individual
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Provider Name | BETSY B BRIDGER CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/20/2008
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 6105 BLUE STONE RD NE #313
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City | ATLANTA
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State | GA
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Zip | 30328-3885
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Country | US
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Telephone | 404-218-7125
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Fax |
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Provider Business Mailing Address
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Address Line | 8914 KINGSMOOR WAY
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City | LAKE WORTH
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State | FL
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Zip | 33467-5644
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Country | US
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Telephone | 404-218-7125
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN155415
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 192534
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11018264
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License Number State | FL
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