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General NPI Number Information
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NPI Number | 1043627987
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Entity Type | Organization
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Legal Business Name | BRIDGING COMMUNITY WITH HEALTHCARE, LLC
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1005 W CONGRESS ST
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City | BROOKHAVEN
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State | MS
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Zip | 39601-2603
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Country | US
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Telephone | 601-833-9388
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Fax | 601-833-9495
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Provider Business Mailing Address
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Address Line | 1005 W CONGRESS ST 1007 W. CONGRES STREET - MAILING ADDRESS
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City | BROOKHAVEN
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State | MS
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Zip | 39601-2603
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Country | US
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Telephone | 601-833-9388
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Fax | 601-833-9495
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH W BROWN
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Credential | DNP
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Telephone | 601-823-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | R880146
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | R880146
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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