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General NPI Number Information
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NPI Number | 1154126993
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Entity Type | Organization
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Legal Business Name | BRIGHTER BEGINNINGS
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 56 S MAIN ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4520
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Country | US
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Telephone | 440-812-2853
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 BOBBY NICHOLS DR
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City | COOKEVILLE
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State | TN
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Zip | 38506-5787
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIM BROCKETT
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Credential | OT
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Telephone | 440-812-2853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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