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General NPI Number Information
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NPI Number | 1235737784
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Entity Type | Organization
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Legal Business Name | A BRIGHTER FUTURE THERAPIES AND EDUCATIONAL SERVICES
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 4594 E LOS PINOS DR
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City | KINGMAN
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State | AZ
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Zip | 86401-8667
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Country | US
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Telephone | 623-776-6189
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4124
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City | KINGMAN
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State | AZ
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Zip | 86402-4124
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Country | US
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Telephone | 623-776-6189
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Fax |
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Authorized Official
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Title or Position | SPEECH- LANGUAGE PATHOLOGIST
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Name | MS. JENNIFER LYNN DONAHUE
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Credential | M.S., CCC-SLP
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Telephone | 623-776-6189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 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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Taxonomy #3
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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