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General NPI Number Information
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NPI Number | 1588487193
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Entity Type | Organization
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Legal Business Name | BRIDGE TO EQUITY
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 276 COBBLESTONE LNDG
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City | MOUNT JULIET
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State | TN
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Zip | 37122-7470
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Country | US
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Telephone | 179-969-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 276 COBBLESTONE LNDG
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City | MOUNT JULIET
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State | TN
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Zip | 37122-7470
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Country | US
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Telephone | 179-969-5274
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. ANTOINETTE LEONARD-JEANCHARLES
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Credential | CPT, CN, OCP
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Telephone | 917-969-5274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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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 | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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