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General NPI Number Information
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NPI Number | 1962473306
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Entity Type | Organization
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Legal Business Name | THE BRIDGEWAY, LLC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 21 BRIDGEWAY RD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72113-9514
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Country | US
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Telephone | 501-771-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 21 BRIDGEWAY RD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72113-9514
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Country | US
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Telephone | 501-771-1500
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Fax |
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Authorized Official
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Title or Position | CFO/SR VP
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 2559
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License Number State | AR
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