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General NPI Number Information
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NPI Number | 1013223361
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Entity Type | Organization
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Legal Business Name | BRIGHTER HEIGHTS MAINE, LLC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 70 BAYVIEW ST
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City | YARMOUTH
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State | ME
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Zip | 04096-6993
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Country | US
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Telephone | 207-847-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 70 BAYVIEW ST
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City | YARMOUTH
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State | ME
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Zip | 04096-6993
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Country | US
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Telephone | 207-847-2273
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Fax | 207-847-2017
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KRISTIN CAFFIER
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Credential |
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Telephone | 207-847-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 610498
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License Number State | ME
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