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General NPI Number Information
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NPI Number | 1598205296
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Entity Type | Organization
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Legal Business Name | BRIGHTER FUTURE CASE MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 2950 HALCYON LN
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City | JACKSONVILLE
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State | FL
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Zip | 32223-6689
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Country | US
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Telephone | 904-945-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 HALCYON LN
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City | JACKSONVILLE
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State | FL
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Zip | 32223-6689
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Country | US
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Telephone | 904-945-6910
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARMELLA C GARDNER
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Credential |
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Telephone | 90494556910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 251
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License Number State | FL
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Taxonomy #2
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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 |
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