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General NPI Number Information
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NPI Number | 1861316093
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Entity Type | Organization
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Legal Business Name | BRIGHT LIGHT ADHD COAHCING
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 39 SCOTLAND ST
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City | HINGHAM
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State | MA
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Zip | 02043-3932
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Country | US
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Telephone | 301-257-2522
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Fax |
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Provider Business Mailing Address
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Address Line | 39 SCOTLAND ST
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City | HINGHAM
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State | MA
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Zip | 02043-3932
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Country | US
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Telephone | 301-257-2522
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER
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Name | MARY COGAN HOLLERAN
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Credential | PNP
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Telephone | 301-257-2522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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