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General NPI Number Information
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NPI Number | 1801431572
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURES CHILDREN SERVICES
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 11/16/2019
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Provider Practice Location Address
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Address Line | 3910 S YELLOWSTONE HWY
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City | IDAHO FALLS
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State | ID
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Zip | 83402-4342
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Country | US
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Telephone | 208-346-7085
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Fax | 208-346-7086
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Provider Business Mailing Address
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Address Line | PO BOX 1824
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City | IDAHO FALLS
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State | ID
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Zip | 83403-1824
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Country | US
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Telephone | 208-521-7422
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSEY SCHULDT
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Credential |
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Telephone | 208-521-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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