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General NPI Number Information
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NPI Number | 1811441033
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Entity Type | Organization
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Legal Business Name | A BRIGHTER DAY HOME CARE, INC.
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 10617 JONES ST 301-A
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City | FAIRFAX
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State | VA
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Zip | 22030-7506
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Country | US
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Telephone | 703-502-9012
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Fax |
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Provider Business Mailing Address
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Address Line | 3822 BEECH DOWN DR
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City | CHANTILLY
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State | VA
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Zip | 20151-3349
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Country | US
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Telephone | 571-221-5748
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Fax | 703-563-6065
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Authorized Official
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Title or Position | CEO
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Name | MRS. STEPHANIE REGINA JACKSON
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Credential |
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Telephone | 703-502-9012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCO-171315
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License Number State | VA
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