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General NPI Number Information
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NPI Number | 1518692763
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY ADULT SERVICES LLC
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1716 POCOSHOCK BLVD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5612
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Country | US
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Telephone | 804-658-5377
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Fax | 833-838-9829
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Provider Business Mailing Address
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Address Line | 3021 CHISLET DR
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-3403
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Country | US
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Telephone | 804-625-5746
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Fax | 833-838-9829
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Authorized Official
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Title or Position | MEMBER
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Name | DEMETRIUS SPRUILL
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Credential |
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Telephone | 804-625-5746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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