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General NPI Number Information
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NPI Number | 1376349076
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Entity Type | Organization
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Legal Business Name | BRIGHTER BEGINNINGS
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 2744 E 11TH ST STE H1
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City | OAKLAND
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State | CA
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Zip | 94601-1443
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Country | US
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Telephone | 510-437-8950
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Fax | 510-437-9795
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Provider Business Mailing Address
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Address Line | 2744 E 11TH ST STE H1
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City | OAKLAND
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State | CA
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Zip | 94601-1443
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Country | US
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Telephone | 510-437-8950
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Fax | 510-437-9795
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. JENNIFER SHALLAT
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Credential |
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Telephone | 510-599-6988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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