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General NPI Number Information
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NPI Number | 1871281709
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Entity Type | Organization
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Legal Business Name | BRIDGE RIVER COUNSELING PLLC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 17304 PRESTON RD APT 866
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City | DALLAS
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State | TX
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Zip | 75252-5618
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Country | US
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Telephone | 337-255-2836
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 WITTEN PARK WAY
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City | MCKINNEY
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State | TX
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Zip | 75070-8670
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUI QIAO
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Credential | MA
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Telephone | 337-255-2836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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