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General NPI Number Information
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NPI Number | 1801698865
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Entity Type | Organization
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Legal Business Name | BRIDGINGLIFE, INC.
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 531 STEVENSON LN
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City | TOWSON
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State | MD
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Zip | 21286-7607
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Country | US
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Telephone | 410-823-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 292 STONER AVE
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City | WESTMINSTER
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State | MD
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Zip | 21157-5629
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Country | US
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Telephone | 410-871-8000
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Fax |
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Authorized Official
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Title or Position | CFO CHC
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Name | MICHAEL MYERS
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Credential |
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Telephone | 410-871-6114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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