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General NPI Number Information
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NPI Number | 1568006823
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURE COMM. HEALTH CARE SVC
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 404B EASTERN BLVD
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City | ESSEX
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State | MD
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Zip | 21221-2122
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Country | US
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Telephone | 443-912-4612
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Fax | 877-288-4626
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Provider Business Mailing Address
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Address Line | 907 FOXWOOD LN
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City | ESSEX
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State | MD
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Zip | 21221-5929
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Country | US
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Telephone | 443-912-4612
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMANUELLA E OWOBU
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Credential | LCPC
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Telephone | 443-912-4612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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