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General NPI Number Information
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NPI Number | 1841031358
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Entity Type | Organization
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Legal Business Name | BRIDGESTEP, LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 15 WILD FERN CT
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City | TRAVELERS REST
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State | SC
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Zip | 29690-8499
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Country | US
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Telephone | 864-546-1563
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Fax |
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Provider Business Mailing Address
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Address Line | 15 WILD FERN CT
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City | TRAVELERS REST
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State | SC
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Zip | 29690-8499
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Country | US
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Telephone | 864-546-1563
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GERALD DREW TONEY
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Credential |
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Telephone | 864-546-1563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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