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General NPI Number Information
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NPI Number | 1629289582
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Entity Type | Organization
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Legal Business Name | BRIDGES TO INDEPENDENCE, INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 61 W WILLIAM ST
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City | DELAWARE
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State | OH
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Zip | 43015-2338
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Country | US
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Telephone | 740-362-1996
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Fax | 740-362-1997
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Provider Business Mailing Address
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Address Line | 61 W WILLIAM ST
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City | DELAWARE
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State | OH
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Zip | 43015-2338
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Country | US
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Telephone | 740-362-1996
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Fax | 740-362-1997
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHRIS RITCHIE
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Credential |
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Telephone | 740-362-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 5100349
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 5100349
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License Number State | OH
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