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General NPI Number Information
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NPI Number | 1972456820
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Entity Type | Organization
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Legal Business Name | THE BRIDGE
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 3100 WOOD AVE LOT I23
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-5165
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Country | US
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Telephone | 719-352-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 WOOD AVE LOT I23
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-5165
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Country | US
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Telephone | 719-352-7190
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | KELLY POWERS
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Credential |
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Telephone | 719-799-0608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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