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General NPI Number Information
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NPI Number | 1356890115
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Entity Type | Organization
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Legal Business Name | BRIGHTER ALTNEERNATIVES
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 22140 HIGHWAY 20 SUITE C
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City | VACHERIE
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State | LA
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Zip | 70090-3620
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Country | US
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Telephone | 225-265-6180
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Fax | 225-265-6181
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Provider Business Mailing Address
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Address Line | 22140 HIGHWAY 20 SUITE C
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City | VACHERIE
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State | LA
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Zip | 70090-3620
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Country | US
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Telephone | 225-265-6180
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Fax | 225-265-6181
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. KEYORKA K. DENNIS
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Credential |
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Telephone | 225-265-6180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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