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General NPI Number Information
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NPI Number | 1962993436
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Entity Type | Organization
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Legal Business Name | BRIDGES OF SUCCESS, INC.
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 3707 MAIN ST, #10
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City | COLLEGE PARK
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State | GA
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Zip | 30337
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Country | US
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Telephone | 678-457-6099
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Fax |
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Provider Business Mailing Address
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Address Line | 3707 MAIN ST, #10
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City | COLLEGE PARK
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State | GA
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Zip | 30337
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Country | US
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Telephone | 678-457-6099
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | CYNTHIA WINTHROP
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Credential | EDD
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Telephone | 678-457-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SS0200X
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Taxonomy Name | School Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225CX0006X
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Taxonomy Name | Orientation and Mobility Training Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number |
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License Number State |
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