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General NPI Number Information
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NPI Number | 1598450173
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Entity Type | Organization
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Legal Business Name | BRIDGING THE GAPS HOME CARE, LLC
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 700 FOXHALL DRIVE
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City | BESSEMER
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State | AL
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Zip | 35022
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Country | US
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Telephone | 205-738-0061
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Fax |
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Provider Business Mailing Address
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Address Line | 2910 ALLISON BONNETT MEMORIAL DR STE 106
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City | HUEYTOWN
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State | AL
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Zip | 35023-1877
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Country | US
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Telephone | 205-738-0061
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. DANEISHA T LEWIS
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Credential | RN
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Telephone | 205-738-0061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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