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General NPI Number Information
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NPI Number | 1548065899
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Entity Type | Organization
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Legal Business Name | BRIDGES BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 330 OLD STEESE HWY
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City | FAIRBANKS
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State | AK
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Zip | 99701-3126
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Country | US
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Telephone | 720-569-0848
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Fax |
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Provider Business Mailing Address
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Address Line | 330 OLD STEESE HWY
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City | FAIRBANKS
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State | AK
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Zip | 99701-3126
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Country | US
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Telephone | 907-416-3993
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Fax | 907-931-6100
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. JENNIFER L NAYLOR
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Credential |
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Telephone | 907-416-3993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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