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NPI 1154699395

NPI 1154699395 : BRIGHTER DAY HEALTH LLC : KEARNEY, NE

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General NPI Number Information
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    NPI Number           |    1154699395
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIGHTER DAY HEALTH LLC 
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Dates
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    Enumeration Date     |    12/02/2011
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    Last Update Date     |    08/08/2016
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Provider Practice Location Address
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    Address Line         |    904 E 25TH ST 
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68847-4603
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    Country              |    US
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    Telephone            |    713-581-8801
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 551668 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32255-1668
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    Country              |    US
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    Telephone            |    713-581-8801
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP OPERATIONS
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    Name                 |    MS. EVE  BROWN 
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    Credential           |    
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    Telephone            |    713-581-8801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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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        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    
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    License Number State |    
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