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General NPI Number Information
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NPI Number | 1790658557
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Entity Type | Organization
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Legal Business Name | BRIDGEWAY LLC
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 1053 SAINT PATRICK ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1704
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Country | US
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Telephone | 859-814-7644
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Fax |
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Provider Business Mailing Address
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Address Line | 1053 SAINT PATRICK ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1704
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Country | US
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Telephone | 859-814-7644
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SEAN CADY
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Credential | DO
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Telephone | 859-814-7644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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