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General NPI Number Information
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NPI Number | 1396221594
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Entity Type | Organization
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Legal Business Name | BRIGHTER HORIZONS THERAPY SOLUTIONS, PLLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 1750 W LAKEAIRE DR
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City | MUSTANG
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State | OK
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Zip | 73064-1117
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Country | US
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Telephone | 405-627-3159
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 W LAKEAIRE DR
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City | MUSTANG
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State | OK
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Zip | 73064-1117
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CANDY MCLEISTER
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Credential | OTR/L
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Telephone | 405-627-3159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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