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General NPI Number Information
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NPI Number | 1386566735
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Entity Type | Organization
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Legal Business Name | BRIDGE AND BLOOM BILLING ALLIANCE
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 235 W 38TH AVE
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City | EUGENE
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State | OR
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Zip | 97405-4912
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Country | US
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Telephone | 928-208-7756
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Fax |
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Provider Business Mailing Address
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Address Line | 235 W 38TH AVE
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City | EUGENE
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State | OR
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Zip | 97405-4912
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Country | US
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Telephone | 928-208-7756
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | SIENNA GROSSE
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Credential |
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Telephone | 928-208-7756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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