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General NPI Number Information
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NPI Number | 1376485862
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Entity Type | Organization
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Legal Business Name | BRIDGE HEALTH & WELLNESS
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1800 PHOENIX BLVD SUITS 128-24
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City | ATLANTA
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State | GA
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Zip | 30349-5593
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Country | US
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Telephone | 401-684-1267
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Fax | 470-275-0632
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Provider Business Mailing Address
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Address Line | 1800 PHOENIX BLVD SUITS 128-24
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City | ATLANTA
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State | GA
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Zip | 30349-5593
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Country | US
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Telephone | 401-684-1267
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Fax | 470-275-0632
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Authorized Official
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Title or Position | OWNER, FNP
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Name | JADE BROWN
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Credential |
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Telephone | 401-684-1267
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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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