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General NPI Number Information
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NPI Number | 1699615294
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Entity Type | Organization
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Legal Business Name | BRIDGEPOINT RECOVERY & WELLNESS
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 6340 SECURITY BLVD STE B49
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City | WOODLAWN
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State | MD
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Zip | 21207-5173
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Country | US
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Telephone | 443-228-8183
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Fax | 443-817-0705
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Provider Business Mailing Address
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Address Line | 6340 SECURITY BLVD STE B49
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City | WOODLAWN
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State | MD
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Zip | 21207-5173
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Country | US
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Telephone | 443-557-8519
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Fax | 443-817-0705
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Authorized Official
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Title or Position | DIRECTOR
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Name | MUTINTA CHESTNUT
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Credential | PMHNP
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Telephone | 443-557-8519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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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 | 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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