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General NPI Number Information
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NPI Number | 1093525693
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAYS LIVING
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 3412 FAIRVIEW ST
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City | FORT WORTH
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State | TX
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Zip | 76111-5312
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Country | US
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Telephone | 817-380-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 14516 DANCING HORSE TRL
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City | HASLET
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State | TX
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Zip | 76052-2717
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Country | US
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Telephone | 931-220-3155
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMABILIA EMILY MARTINEZ
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Credential | RN
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Telephone | 931-220-3155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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