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General NPI Number Information
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NPI Number | 1003545104
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Entity Type | Organization
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Legal Business Name | BRIGHTEN UP COUNSELING
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 803 MARKET ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-3717
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Country | US
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Telephone | 740-297-4949
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Fax | 866-507-8341
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Provider Business Mailing Address
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Address Line | PO BOX 662
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City | ZANESVILLE
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State | OH
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Zip | 43702-0662
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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 | CO OWNER
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Name | CLARICE HAGUE
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Credential | LSW
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Telephone | 740-868-0089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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