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General NPI Number Information
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NPI Number | 1902145980
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Entity Type | Organization
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Legal Business Name | BRITE SUCCESS, LLC
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 3059 WOODLAND HILLS DR
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City | KINGWOOD
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State | TX
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Zip | 77339-1403
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Country | US
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Telephone | 713-370-0522
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Fax | 888-501-0628
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Provider Business Mailing Address
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Address Line | 3007 WOODLAND HILLS DR # 234
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City | KINGWOOD
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State | TX
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Zip | 77339-1403
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Country | US
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Telephone | 713-370-0522
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Fax | 888-501-0628
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MELANIE H JOHNSTON
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Credential | MA, SLP
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Telephone | 713-370-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-119066
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 12323
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License Number State | TX
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