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General NPI Number Information
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NPI Number | 1972118974
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Entity Type | Organization
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Legal Business Name | BRIGHTER FUTURE PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 15456 VENTURA BLVD STE 500
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3023
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Country | US
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Telephone | 818-917-7773
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4403
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City | WEST HILLS
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State | CA
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Zip | 91308-4403
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Country | US
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Telephone | 818-917-7773
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. AMIR MAHDAVI
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Credential | PH.D.
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Telephone | 818-917-7773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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