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General NPI Number Information
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NPI Number | 1912867854
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Entity Type | Individual
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Provider Name | PAIGE HILL BRIDGE
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Gender |
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 4900 OHEAR AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-5091
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Country | US
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Telephone | 843-934-7575
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Fax | 843-543-6340
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Provider Business Mailing Address
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Address Line | 1797 OLD GILLIARD RD
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City | RIDGEVILLE
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State | SC
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Zip | 29472-7412
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | SC
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