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General NPI Number Information
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NPI Number | 1588161491
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Entity Type | Organization
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Legal Business Name | BRIGHT SOLUTIONS THERAPY, INC
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 04/07/2018
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Provider Practice Location Address
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Address Line | 3429 W 80TH ST APT 108
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City | HIALEAH
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State | FL
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Zip | 33018-7571
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Country | US
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Telephone | 786-486-9749
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Fax |
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Provider Business Mailing Address
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Address Line | 3429 W 80TH ST APT 108
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City | HIALEAH
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State | FL
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Zip | 33018-7571
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNIA ROSA PEREZ PINILLO
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Credential | SLP
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Telephone | 786-486-9749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | SA13548
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License Number State | FL
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