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General NPI Number Information
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NPI Number | 1639995061
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Entity Type | Organization
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Legal Business Name | BRIDGE PURCHASING SOLUTIONS INC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 1525 11TH AVE FL 3 STE
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City | SEATTLE
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State | WA
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Zip | 98122
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Country | US
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Telephone | 888-253-5667
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 454
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City | ROGERS
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State | AR
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Zip | 72757-0454
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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 | VP/GM
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Name | DANI WAGNON
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Credential |
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Telephone | 888-253-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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