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General NPI Number Information
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NPI Number | 1285078949
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Entity Type | Organization
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Legal Business Name | BRIGHTER FUTURE HEALTH INC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 9196 W EMERALD ST STE 135
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City | BOISE
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State | ID
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Zip | 83704-8004
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Country | US
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Telephone | 208-310-3573
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Fax |
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Provider Business Mailing Address
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Address Line | 9196 W EMERALD ST STE 135
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City | BOISE
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State | ID
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Zip | 83704-8004
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Country | US
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Telephone | 208-310-3573
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RYAN JENKS
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Credential | J.D.
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Telephone | 208-310-3573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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