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General NPI Number Information
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NPI Number | 1568366243
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Entity Type | Organization
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Legal Business Name | WELLBRIDGE GROUP LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 7 SHERWOOD AVE # 202
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City | SPRING VALLEY
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State | NY
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Zip | 10977-5406
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Country | US
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Telephone | 845-520-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SHERWOOD AVE # 202
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City | SPRING VALLEY
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State | NY
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Zip | 10977-5406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MORDECHAI KLEIN
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Credential |
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Telephone | 438-622-0579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NULL
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