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General NPI Number Information
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NPI Number | 1982596169
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Entity Type | Organization
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Legal Business Name | BRIDGE INTEGRATIVE HEALTH AND NUTRITION
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 4316 ALABAMA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20019-3001
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Country | US
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Telephone | 302-536-9355
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Fax | 866-406-7798
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Provider Business Mailing Address
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Address Line | PO BOX 15116
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City | WASHINGTON
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State | DC
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Zip | 20003-0116
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Country | US
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Telephone | 302-536-9355
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Fax | 866-406-7798
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Authorized Official
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Title or Position | FOUNDER AND PRINCIPAL MANAGER
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Name | EMILY ANN BROWN
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Credential | MS, CNS, LDN
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Telephone | 302-536-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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