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General NPI Number Information
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NPI Number | 1184415275
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Entity Type | Organization
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Legal Business Name | BRIGHT STEPS THERAPY NETWORK LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE 6
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 516-218-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 N 45TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-1720
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Country | US
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Telephone | 646-436-3470
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DON FOSTER
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Credential |
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Telephone | 516-218-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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