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General NPI Number Information
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NPI Number | 1760914808
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Entity Type | Organization
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Legal Business Name | BRIDGE HOSPICE, L.L.C.
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1013 N CAUSEWAY BLVD STE 201B
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City | METAIRIE
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State | LA
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Zip | 70001-4100
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Country | US
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Telephone | 504-603-3577
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Fax | 508-828-8025
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Provider Business Mailing Address
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Address Line | 1013 N CAUSEWAY BLVD STE 201
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City | METAIRIE
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State | LA
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Zip | 70001-4100
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Country | US
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Telephone | 504-841-2209
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Fax | 504-569-5052
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Authorized Official
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Title or Position | CEO
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Name | ANGELIQUE RICHARDSON
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Credential |
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Telephone | 504-841-2209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 326
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License Number State | LA
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