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General NPI Number Information
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NPI Number | 1184248353
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURES AHEAD LLC
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 4 E. ROLLING CROSSROADS, SUITE 301-303
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City | CATONSVILLE
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State | MD
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Zip | 21228-2122
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Country | US
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Telephone | 667-802-5335
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Fax | 443-860-9756
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Provider Business Mailing Address
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Address Line | 4 E. ROLLING CROSSROADS, SUITE 301
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City | CATONSVILLE
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State | MD
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Zip | 21228-6210
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Country | US
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Telephone | 443-250-9950
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Fax | 410-744-0091
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Authorized Official
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Title or Position | OWNER
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Name | MISS BONITA MCMORRIS
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Credential |
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Telephone | 443-250-9950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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