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General NPI Number Information
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NPI Number | 1003187873
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Entity Type | Organization
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Legal Business Name | SHINE BRIGHT THERAPY
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 7355 SW 87TH AVE STE 300
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City | MIAMI
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State | FL
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Zip | 33173-3565
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Country | US
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Telephone | 305-854-2462
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Fax | 786-542-9754
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Provider Business Mailing Address
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Address Line | 7355 SW 87TH AVE STE 300
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City | MIAMI
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State | FL
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Zip | 33173-3565
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Country | US
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Telephone | 305-854-2462
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Fax | 786-542-9754
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER BORR
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Credential |
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Telephone | 786-355-8271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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