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General NPI Number Information
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NPI Number | 1962918060
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Entity Type | Organization
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Legal Business Name | BRIDGE MOBILE HEALTH, PLLC
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 8116 S TRYON ST STE B3-168
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City | CHARLOTTE
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State | NC
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Zip | 28273-4300
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Country | US
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Telephone | 843-601-1262
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Fax |
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Provider Business Mailing Address
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Address Line | 8116 S TRYON ST STE B3-168
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City | CHARLOTTE
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State | NC
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Zip | 28273-4300
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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 | FAMILY NURSE PRACTITIONER
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Name | MS. SONYA NANETTE YVONNE BELIN
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Credential | APRN, FNP-BC
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Telephone | 704-534-9794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5006724
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License Number State | NC
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