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General NPI Number Information
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NPI Number | 1942099924
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Entity Type | Individual
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Provider Name | AUTUMN BRIDGES PT
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 901 S SWEETWATER ST
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City | WHEELER
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State | TX
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Zip | 79096-2428
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Country | US
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Telephone | 806-826-5581
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Fax |
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Provider Business Mailing Address
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Address Line | 15351 INTERSTATE 40
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City | SHAMROCK
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State | TX
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Zip | 79079-3901
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1302033
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License Number State | TX
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