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General NPI Number Information
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NPI Number | 1396801924
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Entity Type | Organization
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Legal Business Name | BRIGHT HORIZONS OF WELLEBY, INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3621 NW 90TH TER
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City | SUNRISE
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State | FL
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Zip | 33351-6470
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Country | US
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Telephone | 954-747-7265
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Fax | 954-747-7266
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Provider Business Mailing Address
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Address Line | 6797 NW 110TH WAY
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City | PARKLAND
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State | FL
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Zip | 33076-3837
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Country | US
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Telephone | 954-345-7270
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Fax | 954-345-8124
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. VALDEMIRO COELHO
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Credential |
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Telephone | 954-658-2253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL # 8626
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License Number State | FL
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