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General NPI Number Information
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NPI Number | 1477008944
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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 | 08/24/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 2595 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94601-1509
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Country | US
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Telephone | 510-365-1974
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Fax |
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Provider Business Mailing Address
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Address Line | 2532 DANA ST APT. 2
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City | BERKELEY
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State | CA
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Zip | 94704-2822
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Country | US
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Telephone | 510-365-1974
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | ANGELICA AYALA
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Credential |
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Telephone | 510-365-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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