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General NPI Number Information
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NPI Number | 1053650374
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Entity Type | Organization
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Legal Business Name | BRIGHTENING CONNECTIONS LLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 1111 ELWAY ST APT 504
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City | SAINT PAUL
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State | MN
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Zip | 55116-3234
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Country | US
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Telephone | 651-785-3059
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 ELWAY ST APT 504
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City | SAINT PAUL
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State | MN
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Zip | 55116-3234
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Country | US
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Telephone | 651-785-3059
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA A SAWYER
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Credential | M.A. CCC-SLP
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Telephone | 657-785-3059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8366
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License Number State | MN
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