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General NPI Number Information
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NPI Number | 1861620080
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Entity Type | Organization
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Legal Business Name | A BRIGHTER YOU LLC
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 3409 W WENDOVER AVE STE F
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City | GREENSBORO
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State | NC
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Zip | 27407-1579
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Country | US
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Telephone | 336-287-5933
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Fax | 336-722-4499
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Provider Business Mailing Address
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Address Line | 3409 W WENDOVER AVE STE F
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City | GREENSBORO
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State | NC
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Zip | 27407-1579
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Country | US
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Telephone | 336-287-5933
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Fax | 336-722-4499
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | MS. TRINETTE MITCHELL
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Credential |
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Telephone | 336-287-5933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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