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General NPI Number Information
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NPI Number | 1053827329
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Entity Type | Organization
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Legal Business Name | BRIGHT DAY THERAPY CENTER INC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 2602 NELSON AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90278
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Country | US
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Telephone | 310-658-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 120 36TH ST
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-3202
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Country | US
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Telephone | 310-658-3171
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | BRIGHTON NORTHROP HERNANDEZ
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Credential |
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Telephone | 310-658-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9910
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP22283
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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