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General NPI Number Information
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NPI Number | 1265724504
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Entity Type | Organization
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Legal Business Name | BUILDING BRIDGES ASSOCIATION
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 4925 POPLAR SPRINGS DR
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City | MERIDIAN
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State | MS
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Zip | 39305-1618
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Country | US
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Telephone | 601-759-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 POPLAR SPRINGS DR
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City | MERIDIAN
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State | MS
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Zip | 39305-1618
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Country | US
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Telephone | 601-759-2358
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. NADIA SIDDIQUI
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Credential |
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Telephone | 601-759-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1584
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License Number State | MS
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