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General NPI Number Information
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NPI Number | 1144827791
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Entity Type | Organization
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Legal Business Name | BRIDGE2 HOMECARE LLC
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 120 MAPLE ST STE 302
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City | SPRINGFIELD
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State | MA
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Zip | 01103-2266
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Country | US
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Telephone | 413-315-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 120 MAPLE ST STE 302
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City | SPRINGFIELD
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State | MA
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Zip | 01103-2266
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Country | US
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Telephone | 413-285-7755
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Fax |
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Authorized Official
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Title or Position | OWNER/DON
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Name | CELESTE VALDES
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Credential |
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Telephone | 413-455-7995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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