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General NPI Number Information
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NPI Number | 1720668304
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Entity Type | Organization
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Legal Business Name | BRIGHTER MINDS THERAPY LLC
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 8463 NW 189TH STREET RD
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City | HIALEAH
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State | FL
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Zip | 33015-5372
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Country | US
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Telephone | 786-683-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 8463 NW 189TH STREET RD
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City | HIALEAH
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State | FL
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Zip | 33015-5372
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Country | US
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Telephone | 786-683-4391
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST REGISTER
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Name | ANA GRACIELA CRUZ
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Credential | OTR
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Telephone | 786-683-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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