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General NPI Number Information
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NPI Number | 1699322040
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER'S BRIDGE, LLC
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 3651 MARS HILL RD, SUITE 1600
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City | WATKINSVILLE
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State | GA
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Zip | 30677
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Country | US
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Telephone | 706-705-1581
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Fax | 706-705-1582
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Provider Business Mailing Address
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Address Line | 3651 MARS HILL RD, SUITE 1600
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City | WATKINSVILLE
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State | GA
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Zip | 30677
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Country | US
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Telephone | 706-705-1581
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Fax | 706-705-1582
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/PARTNER
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Name | JOHN PIEPER
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Credential |
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Telephone | 706-705-1581
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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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