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General NPI Number Information
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NPI Number | 1952679094
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY THERAPEUTIC SOLUTIONS, PLLC
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Dates
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Enumeration Date | 12/04/2011
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Last Update Date | 12/04/2011
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Provider Practice Location Address
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Address Line | 12781 DARBY BROOK CT SUITE 201 B
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2482
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Country | US
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Telephone | 703-494-0426
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Fax | 703-494-1335
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Provider Business Mailing Address
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Address Line | 12781 DARBY BROOK CT SUITE 201 B
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2482
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Country | US
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Telephone | 703-494-0426
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Fax | 703-494-1335
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. ALTHEA SIMPSON
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Credential | LCSW
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Telephone | 703-494-0426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007507
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License Number State | VA
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