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General NPI Number Information
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NPI Number | 1760322085
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Entity Type | Organization
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Legal Business Name | BRIDGEWAY RECOVERY SERVICES LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 70 CLINTON ST
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City | EVERETT
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State | MA
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Zip | 02149-4674
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Country | US
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Telephone | 978-933-7390
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Fax |
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Provider Business Mailing Address
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Address Line | 70 CLINTON ST
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City | EVERETT
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State | MA
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Zip | 02149-4674
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Country | US
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Telephone | 978-933-7390
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DINO ERRICHETTO JR.
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Credential | PRC
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Telephone | 508-470-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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