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General NPI Number Information
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NPI Number | 1427116151
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Entity Type | Organization
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Legal Business Name | BRIGHTER FUTURES INC P C
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 624 S BOSTON AVE STE 311
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City | TULSA
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State | OK
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Zip | 74119-1296
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Country | US
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Telephone | 918-584-6694
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Fax | 918-584-6229
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Provider Business Mailing Address
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Address Line | 624 S BOSTON AVE STE 311
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City | TULSA
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State | OK
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Zip | 74119-1296
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Country | US
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Telephone | 918-584-6694
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Fax | 918-584-6229
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JERI LOUISE FRITZ
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Credential | PH.D.
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Telephone | 918-584-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 662
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License Number State | OK
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