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General NPI Number Information
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NPI Number | 1215551502
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Entity Type | Organization
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Legal Business Name | BRIDGECARE SOLUTIONS ARE LLC
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 612 WATERCOLOR LANE
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605
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Country | US
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Telephone | 530-788-8562
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Fax |
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Provider Business Mailing Address
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Address Line | 813 HARBOR BLVD # 294
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-2201
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Country | US
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Telephone | 530-788-8562
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FLORENCE SOBA AJOKU
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Credential |
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Telephone | 530-788-8562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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