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General NPI Number Information
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NPI Number | 1750620597
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Entity Type | Organization
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Legal Business Name | BRIDGE TO ABILITY, INC.
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 32506 COUNTY ROAD 473
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City | LEESBURG
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State | FL
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Zip | 34788-8812
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Country | US
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Telephone | 352-742-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 32506 COUNTY ROAD 473
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City | LEESBURG
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State | FL
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Zip | 34788-8812
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Country | US
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Telephone | 352-742-4420
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPERATOR/ TEACHER
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Name | MRS. CHERYL DOWERS BAYLIS
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Credential |
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Telephone | 352-742-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | FL
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