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General NPI Number Information
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NPI Number | 1184406035
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Entity Type | Organization
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Legal Business Name | NEWBRIDGE HEALTH, INC.
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 2403 SE MONROE ST STE E
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City | MILWAUKIE
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State | OR
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Zip | 97222-7646
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Country | US
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Telephone | 503-567-7356
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Fax | 503-878-7092
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Provider Business Mailing Address
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Address Line | 2403 SE MONROE ST STE E
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City | MILWAUKIE
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State | OR
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Zip | 97222-7646
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Country | US
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Telephone | 503-567-7356
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Fax | 503-878-7092
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES THOMAS BOYD
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Credential | MD
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Telephone | 503-567-7356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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