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General NPI Number Information
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NPI Number | 1689259442
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Entity Type | Organization
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Legal Business Name | RED BRIDGE CONSULTING LLC
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Dates
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Enumeration Date | 03/13/2021
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Last Update Date | 03/13/2021
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Provider Practice Location Address
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Address Line | 180 TERRACE AVE
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604-1823
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Country | US
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Telephone | 201-519-9283
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Fax |
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Provider Business Mailing Address
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Address Line | 180 TERRACE AVE
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604-1823
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Country | US
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Telephone | 201-519-9283
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF SPEECH-LANGUAGE PATHOLOGY
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Name | LISAROSE MCCABE
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Credential | SLPD, CCC-SLP
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Telephone | 201-519-9283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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