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General NPI Number Information
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NPI Number | 1942658505
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Entity Type | Organization
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Legal Business Name | BRIGHTER HORIZONS ADULT DAY CENTER
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 307 1/2 NW 8TH ST
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City | BRAINERD
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State | MN
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Zip | 56401-3212
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Country | US
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Telephone | 218-829-0636
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Fax | 218-829-0068
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Provider Business Mailing Address
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Address Line | 307 1/2 NW 8TH ST
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City | BRAINERD
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State | MN
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Zip | 56401-3212
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Country | US
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Telephone | 218-829-0636
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Fax | 218-829-0068
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | AMY L BAUER NELSON
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Credential |
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Telephone | 218-232-0541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 1077546-1-ADC
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License Number State | MN
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