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General NPI Number Information
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NPI Number | 1306709811
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Entity Type | Organization
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Legal Business Name | TRUE BRIDGE GROUP INC.
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 16106 JEWEL AVE APT 4M
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-4345
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Country | US
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Telephone | 917-728-8949
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Fax |
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Provider Business Mailing Address
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Address Line | 54 STATE ST STE 804
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City | ALBANY
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State | NY
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Zip | 12207-2524
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Country | US
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Telephone | 917-728-8949
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. YAKAIRA F. MEDINA
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Credential |
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Telephone | 917-728-8949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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