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General NPI Number Information
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NPI Number | 1750711289
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Entity Type | Organization
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Legal Business Name | BRIGHT BEGINNINGS FOR KIDS, INC.
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 11965 VENICE BLVD SUITE 408
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City | LOS ANGELES
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State | CA
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Zip | 90066-3979
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Country | US
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Telephone | 310-316-2190
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Fax | 310-316-2713
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Provider Business Mailing Address
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Address Line | 11965 VENICE BLVD SUITE 408
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City | LOS ANGELES
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State | CA
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Zip | 90066-3979
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Country | US
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Telephone | 310-316-2190
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Fax | 310-316-2713
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA M SHIROMA
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Credential |
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Telephone | 310-316-2190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | 1719
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1719
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License Number State | CA
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