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General NPI Number Information
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NPI Number | 1356211999
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Entity Type | Organization
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Legal Business Name | SAMUEL BRIDGE SOLUTIONS INC
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Dates
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Enumeration Date | 11/08/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 550 DUNAGAN DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-5238
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Country | US
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Telephone | 770-547-7675
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Fax |
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Provider Business Mailing Address
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Address Line | 267 LANGLEY DR UNIT 4364
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-6907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RICHARD SAMUEL
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Credential |
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Telephone | 770-547-7675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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