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General NPI Number Information
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NPI Number | 1144805250
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Entity Type | Organization
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Legal Business Name | A BRIGHTER HERITAGE, INC.
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 2408 LISBON RD
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City | AUGUSTA
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State | GA
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Zip | 30906-4071
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Country | US
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Telephone | 706-619-8490
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Fax |
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Provider Business Mailing Address
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Address Line | 2408 LISBON RD
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City | AUGUSTA
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State | GA
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Zip | 30906-4071
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Country | US
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Telephone | 706-619-8490
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MATTILYN WARD
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Credential | MOM, HHS, CMA
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Telephone | 706-619-8490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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