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General NPI Number Information
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NPI Number | 1669130837
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Entity Type | Organization
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Legal Business Name | BRIDGES BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 1024 1/2 SOUTH PENNSYLVANIA AVENUE
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City | WELLSTON
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State | OH
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Zip | 45692
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Country | US
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Telephone | 740-384-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 1/2 SOUTH PENNSYLVANIA AVENUE
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City | WELLSTON
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State | OH
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Zip | 45692
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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 | NURSE PRACTITIONER
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Name | TONYA VARNEY
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Credential | APRN, CNP
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Telephone | 740-384-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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