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General NPI Number Information
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NPI Number | 1639623937
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY HEALTH
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 10741 BARNSFORD LN
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City | HELOTES
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State | TX
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Zip | 78023-4696
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Country | US
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Telephone | 832-742-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 455 N DAKOTA AVE
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City | CORSICA
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State | SD
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Zip | 57328-2110
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Country | US
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Telephone | 832-742-0117
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT OF OPERATIONS
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Name | JUNE W MAXFELDT
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Credential |
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Telephone | 713-554-0830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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