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NPI 1932236171

NPI 1932236171 : KAREN N. BRIDGES LPA : HIGH POINT, NC

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General NPI Number Information
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    NPI Number           |    1932236171
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN N. BRIDGES LPA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/27/2007
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    Last Update Date     |    06/23/2014
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Provider Practice Location Address
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    Address Line         |    155 NORTHPOINT AVE SUITE 201
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    City                 |    HIGH POINT
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    State                |    NC
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    Zip                  |    27262-7738
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    Country              |    US
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    Telephone            |    336-841-6083
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    Fax                  |    336-841-6330
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Provider Business Mailing Address
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    Address Line         |    155 NORTHPOINT AVE SUITE 201
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    City                 |    HIGH POINT
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    State                |    NC
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    Zip                  |    27262-7738
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    Country              |    US
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    Telephone            |    336-841-6083
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    Fax                  |    336-841-6330
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    605
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    9705
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    License Number State |    NC
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