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General NPI Number Information
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NPI Number | 1942932405
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Entity Type | Organization
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Legal Business Name | BRIDGE 2 HAPPINESS
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 250 W MAIN ST STE 101
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City | TUSTIN
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State | CA
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Zip | 92780-7717
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Country | US
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Telephone | 714-644-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 16311 GENTRY LN
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3373
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Country | US
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Telephone | 714-644-1988
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HEATHER K BRIDGE
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Credential | MS
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Telephone | 714-644-1988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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