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General NPI Number Information
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NPI Number | 1336520360
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURE RECOVERY INC.
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 1000 FAIRVIEW RD
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City | HOLLISTER
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State | CA
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Zip | 95023-9644
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Country | US
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Telephone | 831-245-7736
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Fax |
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Provider Business Mailing Address
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Address Line | 785 QUAIL HOLLOW DR
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City | HOLLISTER
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State | CA
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Zip | 95023-8910
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Country | US
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Telephone | 831-245-7736
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHEREE DAVILA
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Credential | RAS, CADC-CAS
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Telephone | 831-245-7736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | C031420315
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License Number State | CA
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