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General NPI Number Information
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NPI Number | 1346046349
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURE THERAPY SERVICES
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 3485 N DESERT DR STE 105
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City | EAST POINT
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State | GA
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Zip | 30344-5724
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Country | US
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Telephone | 678-724-7033
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Fax | 678-302-7357
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Provider Business Mailing Address
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Address Line | 3460 SOMERSET TRL SW
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City | ATLANTA
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State | GA
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Zip | 30331-7935
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Country | US
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Telephone | 678-724-7033
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Fax | 678-302-7357
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Authorized Official
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Title or Position | OWNER
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Name | KENDALL JACKSON
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Credential |
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Telephone | 678-724-7033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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