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General NPI Number Information
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NPI Number | 1699554386
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Entity Type | Organization
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Legal Business Name | ONE BRIDGE TO HOPE
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 2655 BARDSTOWN RD.
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City | ST. CATHARINE
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State | KY
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Zip | 40061-0000
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Country | US
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Telephone | 859-841-6091
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Fax | 859-481-6130
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | SPRINGFIELD
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State | KY
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Zip | 40069-0247
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Country | US
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Telephone | 859-841-6091
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Fax | 859-481-6130
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MRS. REBECCA A BISHOP
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Credential |
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Telephone | 270-405-3288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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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