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General NPI Number Information
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NPI Number | 1457289019
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Entity Type | Organization
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Legal Business Name | BRIDGEWELL ALLIANCE, LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 1999 PARKER CT
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-3651
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Country | US
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Telephone | 678-599-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 936 LOST CREEK CIR
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City | STONE MOUNTAIN
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State | GA
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Zip | 30088-2119
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Country | US
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Telephone | 678-599-2798
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LATONYA DONALD
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Credential | PH.D.
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Telephone | 678-599-2798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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