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General NPI Number Information
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NPI Number | 1033854310
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Entity Type | Organization
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Legal Business Name | BRIDGEWORKS COUNSELING AND CONSULTING INC
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 3879 RHODES AVE STE 200
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City | NEW BOSTON
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State | OH
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Zip | 45662-6002
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Country | US
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Telephone | 740-802-0922
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Fax |
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Provider Business Mailing Address
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Address Line | 3879 RHODES AVE STE 200
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City | NEW BOSTON
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State | OH
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Zip | 45662-6002
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Country | US
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Telephone | 740-802-0922
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT DECKERT
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Credential |
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Telephone | 740-802-0922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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