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General NPI Number Information
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NPI Number | 1851920946
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Entity Type | Organization
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Legal Business Name | BRIDGE TO HOMECARE
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 10605 JUDICIAL DR STE B4
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City | FAIRFAX
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State | VA
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Zip | 22030-5167
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Country | US
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Telephone | 540-325-9519
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Fax |
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Provider Business Mailing Address
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Address Line | 215 CENTURY PL APT 1213
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City | ALEXANDRIA
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State | VA
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Zip | 22304-7504
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Country | US
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Telephone | 703-283-7528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA FRENCH
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Credential |
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Telephone | 703-283-7528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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