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General NPI Number Information
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NPI Number | 1457166076
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Entity Type | Organization
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Legal Business Name | BUILDING BRIDGES LLC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 5071 HIGHWAY 72
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City | NEW PLYMOUTH
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State | ID
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Zip | 83655-5238
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Country | US
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Telephone | 775-686-3343
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SW 3RD ST
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City | FRUITLAND
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State | ID
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Zip | 83619-7000
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Country | US
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Telephone | 775-686-3343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANINE GRUND
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Credential |
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Telephone | 775-686-3343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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